Healthcare Provider Details

I. General information

NPI: 1598643264
Provider Name (Legal Business Name): AMBRO LIFE AND HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2025
Last Update Date: 08/21/2025
Certification Date: 08/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4742 IRISH RED CT
UNION CITY GA
30291-3481
US

IV. Provider business mailing address

4742 IRISH RED CT
UNION CITY GA
30291-3481
US

V. Phone/Fax

Practice location:
  • Phone: 770-865-3901
  • Fax:
Mailing address:
  • Phone: 770-865-3901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: NICOL MORSBY
Title or Position: ADMINISTRATOR
Credential: NP
Phone: 770-865-3901