Provider Demographics
NPI:1316441272
Name:AMBASSADORS PROVIDING AMZING CARE, INC.
Entity type:Organization
Organization Name:AMBASSADORS PROVIDING AMZING CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-582-2322
Mailing Address - Street 1:PO BOX 177
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-0177
Mailing Address - Country:US
Mailing Address - Phone:831-582-2322
Mailing Address - Fax:831-582-2326
Practice Address - Street 1:3170 VISTA DEL CAMINO
Practice Address - Street 2:
Practice Address - City:MARINA
Practice Address - State:CA
Practice Address - Zip Code:93933-2637
Practice Address - Country:US
Practice Address - Phone:831-582-2322
Practice Address - Fax:831-582-2326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-23
Last Update Date:2018-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care