Healthcare Provider Details

I. General information

NPI: 1669003570
Provider Name (Legal Business Name): AMBASSADORE HOSPICE CARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2020
Last Update Date: 04/08/2026
Certification Date: 04/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3939 ATLANTIC AVE STE 223A
LONG BEACH CA
90807-3536
US

IV. Provider business mailing address

3939 ATLANTIC AVE STE 223A
LONG BEACH CA
90807-3536
US

V. Phone/Fax

Practice location:
  • Phone: 562-991-3213
  • Fax: 562-286-8989
Mailing address:
  • Phone: 562-991-3213
  • Fax: 562-286-8989

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State

VIII. Authorized Official

Name: EMMALYN VANO ALCANTARA
Title or Position: CEO
Credential:
Phone: 310-713-9968