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AMBASSADOR ADULT FAMILY HOME LLC NPI 1588256390


NPI Information

NPI: 1588256390
Provider Name: AMBASSADOR ADULT FAMILY HOME LLC
Classification: Nursing Care - 251J00000X
Entity Type: Organization

CLIA Number: 50D2293202

Address:
5220 S SMITH CT
SPOKANE, WA
ZIP 99223
Phone: (509) 329-8057
Get Directions

AMBASSADOR ADULT FAMILY HOME LLC is a nursing care in Spokane, WA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. AMBASSADOR ADULT FAMILY HOME LLC NPI is 1588256390. The provider is registered as an organization entity type.

The provider's business location address is:

5220 S SMITH CT
SPOKANE, WA
ZIP 99223-500
Phone: (509) 329-8057

The provider's authorized official is Lydia Naisiae Nkurruna .
The authorized official title is Owner and has the following contact phone number (509) 329-8057.

The CLIA number assigned to this NPI record is 50D2293202 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/4/2021 and was last updated on 2/4/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251J00000XNursing CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11629667605OTHERWASHINGTONNPPES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.