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Contact Information

THE AMBASSADOR OMAHA, INC.
1540 N 72ND ST
OMAHA, NE68114-1924
 Phone: 402-393-6500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
 

Nursing Care, Pediatric

3140N1450X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for THE AMBASSADOR OMAHA, INC.

NPI Number 1184638405
LBN Legal business name THE AMBASSADOR OMAHA, INC.
Authorized official BRENT SHANHOLTZ - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/29/2006
Last updated 08/17/2018 - About 8 years ago
Identifiers
NE License # 264003
SD Medicaid 0235010
IA Other 0517300002 DME
NE Other 0517300002 DME
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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