Provider Demographics
NPI:1316474273
Name:AMBASSADOR HEALTH AT HOME, INC.
Entity type:Organization
Organization Name:AMBASSADOR HEALTH AT HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:J
Authorized Official - Last Name:JUILFS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-873-7791
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-1119
Mailing Address - Country:US
Mailing Address - Phone:402-873-7791
Mailing Address - Fax:402-873-7244
Practice Address - Street 1:1240 N 19TH ST
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-1119
Practice Address - Country:US
Practice Address - Phone:402-873-7791
Practice Address - Fax:402-873-7244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient