MEDICARE: THE AMBASSADOR REHAB & WELLNESS CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649285578
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE AMBASSADOR REHAB & WELLNESS CENTER, INC.

Provider Business Mailing Address
First Line	:	1240 N 19TH ST
Second Line	:	STE # 2
City	:	NEBRASKA CITY
State	:	NE
Zip	:	68410-1119
Country	:	US
Telephone Number	:	402-873-4838
Fax Number	:	402-873-4117

Provider Business Practice Location Address
First Line	:	1240 N 19TH ST
Second Line	:	STE # 2
City	:	NEBRASKA CITY
State	:	NE
Zip	:	68410-1119
Country	:	US
Telephone Number	:	402-873-4838
Fax Number	:	402-873-4117

Authorized Official
Title or Position	:	PRESIDENT - OWNER
Name	:	MR. TIMOTHY J JUILFS
Credential	:
Telephone Number	:	402-873-7791

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	08/17/2018

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