MEDICARE: THE AMBASSADOR NEBRASKA CITY, 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	310400000X	Assisted Living Facility	ALF168	NE
2	225X00000X	Occupational Therapist	584001	NE
3	225100000X	Physical Therapist	584001	NE
4	235Z00000X	Speech-Language Pathologist	584001	NE
5	314000000X	Skilled Nursing Facility	584001	NE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0516670001	OTHER	NE	DME SUPPLIER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992771299
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE AMBASSADOR NEBRASKA CITY, INC.

Provider Business Mailing Address
First Line	:	1800 14TH AVE
Second Line	:
City	:	NEBRASKA CITY
State	:	NE
Zip	:	68410-1159
Country	:	US
Telephone Number	:	402-873-8507
Fax Number	:	402-873-7244

Provider Business Practice Location Address
First Line	:	1800 14TH AVE
Second Line	:
City	:	NEBRASKA CITY
State	:	NE
Zip	:	68410-1159
Country	:	US
Telephone Number	:	402-873-6650
Fax Number	:	402-873-6621

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	MS. MARCIA K SCHROEDER
Credential	:
Telephone Number	:	402-873-8507

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	08/17/2018

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Directions to “THE AMBASSADOR NEBRASKA CITY, INC. ” Practice Location

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