MEDICARE: AMBASSADORE HEALTH CARE, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1962033951
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMBASSADORE HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	3939 ATLANTIC AVE STE 223
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3535
Country	:	US
Telephone Number	:	562-409-4110
Fax Number	:	562-286-8950

Provider Business Practice Location Address
First Line	:	3939 ATLANTIC AVE STE 223
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-3535
Country	:	US
Telephone Number	:	562-409-4110
Fax Number	:	562-286-8950

Authorized Official
Title or Position	:	ADMINISTRATOR/CEO
Name	:	EMMALYN VANO ALCANTARA
Credential	:	ADMINISTRATOR
Telephone Number	:	310-713-9968

Provider Enumeration Date	:	01/29/2020
Last Update Date	:	04/08/2026

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