Healthcare Provider Details

I. General information

NPI: 1023508405
Provider Name (Legal Business Name): AMBASSADOR HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2018
Last Update Date: 08/01/2025
Certification Date: 08/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10487 SPRING HILL DR
SPRING HILL FL
34608-5045
US

IV. Provider business mailing address

3333 S CONGRESS AVE STE 100
DELRAY BEACH FL
33445-7300
US

V. Phone/Fax

Practice location:
  • Phone: 352-701-1723
  • Fax: 352-701-1770
Mailing address:
  • Phone: 352-701-1723
  • Fax: 352-701-1770

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY MICHELLE HUNTER
Title or Position: DIRECTOR OF CONTRACT DEVLOPMENT
Credential:
Phone: 727-888-2844