AMBONI HEALTHSOURCE LLC (NPI# 1073136800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073136800 |
| Entity Type | Organization |
| Organization Name | AMBONI HEALTHSOURCE LLC |
| Practice Address |
23438 Amoroso St Richmond TX 77406-2069 |
| Practice Telephone | 8325887556 |
| Mailing Telephone | 8325887556 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | MR. PROSPER KISWAGA (MD) |
| Authorized Official Telephone | 2148309906 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
Respite Care Facility | ||
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
23438 AMOROSO ST |
| City | RICHMOND |
| State | TX |
| Zip Code | 77406-2069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952901308 | Magana Health Link Inc | Respite Care | 23438 Amoroso St, Richmond, TX 77406-2069 | 2020-10-26 |
| 1417557869 | Amboni Health Link Corp | Respite Care | 23438 Amoroso St, Richmond, TX 77406-2069 | 2020-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971901 | Qs Dental Partners Pllc | Clinic/Center | 7109 Katy Gaston Road, Suite 400, Richmond, TX 77406 | 2020-10-27 |
| 1043832850 | Sanober Barolia | Nurse Practitioner | 1007 Parsnip Acres Ct, Richmond, TX 77406 | 2020-05-14 |
| 1164058988 | Breana Janson | Occupational Therapist | 802 Lemon Twist Lane, Richmond, TX 77406 | 2020-03-13 |
| 1770120669 | H-e-b, Lp | Clinical Medical Laboratory | 9211 Fm 723 Rd, Richmond, TX 77406 | 2019-12-10 |
| 1528627916 | Petite Smiles Pediatric Dentistry, Pllc | Dentist | 11131 Harlem Rd, Suite 120, Richmond, TX 77406 | 2019-06-10 |
| 1639633753 | Grand Eye Care, LLC | Optometrist | 4828 Waterview Town Center, Suite 300, Richmond, TX 77406 | 2019-01-23 |
| 1578033635 | Daryn Mccarter | Chiropractor | 9115 Fm 723 Rd, Suite 850, Richmond, TX 77406 | 2018-12-03 |
| 1194216143 | Wal-mart Stores Texas, LLC | Durable Medical Equipment & Medical Supplies | 26824 Fm 1093, Richmond, TX 77406 | 2018-05-25 |
| 1124516927 | Hoang Squared | Optometrist | 11020 Harlem Rd Ste 800, Richmond, TX 77406 | 2018-04-26 |
| 1851808000 | Highline Dental, Pllc | Clinic/Center | 11020 Harlem Rd, Richmond, TX 77406 | 2018-01-09 |
| Find all providers in zip 77406 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454176 | Viandsa Care Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17203 Quiet Song Ct, Richmond, TX 77407-2964 | 2020-10-14 |
| 1053919050 | Building Bridges In Healthcare LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2007 Liberty Cove Ct, Richmond, TX 77469-2338 | 2020-10-12 |
| 1497353635 | Helping Hearts Residential Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 20319 Bridge Manor Ln, Richmond, TX 77407-6494 | 2020-10-10 |
| 1427662675 | Triple D Vista Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 18943 Morant Bay Dr, Richmond, TX 77407-1200 | 2020-09-04 |
| 1083264881 | Angelriel Homecare Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9146 Basin Ridge Ln, Richmond, TX 77407-1681 | 2019-09-13 |
| 1497229306 | Hope Caring Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17818 Royal Breccia Ln, Richmond, TX 77407-1770 | 2019-01-14 |
| 1194200600 | Sareena Care Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3427 Sunrise Garden Path, Richmond, TX 77406-1707 | 2018-10-01 |
| 1346728482 | Topaz Healthcare Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8503 Taraglen Ct, Richmond, TX 77407-2588 | 2018-07-31 |
| 1962988766 | Allcare Mental Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6419 Granite Springs Ln, Richmond, TX 77469 | 2018-07-15 |
| 1174027312 | Jade Community Care, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6115 Will Point Ln, Richmond, TX 77469-6148 | 2018-03-21 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.