Healthcare Provider Details

I. General information

NPI: 1962314716
Provider Name (Legal Business Name): ALLIED KINGDOM AMBASSADORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11003 BEVERLYS FORD CT
SPOTSYLVANIA VA
22551-4676
US

IV. Provider business mailing address

11003 BEVERLYS FORD CT
SPOTSYLVANIA VA
22551-4676
US

V. Phone/Fax

Practice location:
  • Phone: 571-919-5344
  • Fax: 703-680-4732
Mailing address:
  • Phone: 571-919-5344
  • Fax: 703-680-4732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. THADDIOUS OSBY JR.
Title or Position: CEO/ADMINISTRATOR
Credential: RN
Phone: 571-919-5344