Healthcare Provider Details

I. General information

NPI: 1932020104
Provider Name (Legal Business Name): AMBIENT MEDICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

637 N DUPONT BLVD
MILFORD DE
19963-1098
US

IV. Provider business mailing address

PO BOX 1827
SEAFORD DE
19973-8827
US

V. Phone/Fax

Practice location:
  • Phone: 302-629-3099
  • Fax:
Mailing address:
  • Phone: 302-629-3099
  • Fax: 302-629-6059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT HENRY
Title or Position: CEO
Credential:
Phone: 302-629-3099