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Contact Information

AMBROSE HEALTHCARE LLC
920 HERITAGE PARK BLVD STE 120
LAYTON, UT84041-5609
 Phone: 801-335-6455
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
Indicates primary specialty

NPI Profile & details for AMBROSE HEALTHCARE LLC

NPI Number 1912401613
LBN Legal business name AMBROSE HEALTHCARE LLC
Authorized official TRAVIS COLLETTE - (VP OF BUSINESS DEVELOPMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2018
Last updated 03/19/2018 - About 8 years ago
Identifiers
License # 2018-HHA-UT000840
UT Other 2018-HHA-UT000840 STATE LICENSE NUMBER
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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