Healthcare Provider Details

I. General information

NPI: 1568922623
Provider Name (Legal Business Name): AMBIENT SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2019
Last Update Date: 03/15/2024
Certification Date: 02/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10632 LITTLE PATUXENT PKWY STE 302
COLUMBIA MD
21044-6246
US

IV. Provider business mailing address

10632 LITTLE PATUXENT PKWY STE 302
COLUMBIA MD
21044-6246
US

V. Phone/Fax

Practice location:
  • Phone: 410-525-5285
  • Fax: 410-525-5283
Mailing address:
  • Phone: 410-525-5285
  • Fax: 410-525-5283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. ADEMOLA STEPHEN AKINROGBE
Title or Position: ADMINISTRATOR
Credential:
Phone: 410-525-5285