MEDICAL AMBASSADOR HEALTHCARE, LLC (NPI# 1457738122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457738122 |
| Entity Type | Organization |
| Organization Name | MEDICAL AMBASSADOR HEALTHCARE, LLC |
| Other Organization Name | PRESERVED BEAUTY & WELLNESS CENTER |
| Practice Address |
1220 L St Nw Suite 100-275 Washington DC 20005-4018 |
| Practice Telephone | 2027052455 |
| Practice Fax Number | 2023152511 |
| Mailing Telephone | 2027052455 |
| Mailing Fax Number | 2023152511 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | CAMILLE AWANDA (OWNER) |
| Authorized Official Telephone | 3013437514 |
| Authorized Official Credential | N.P. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
RN1004831 | DC | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| PRESERVED BEAUTY & WELLNESS CENTER | Doing Business As Name - Organization |
| Street Address |
1220 L ST NW SUITE 100-275 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20005-4018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062842 | Nikki Taylor Talarico | Counselor | 601 13th St Sw, Suite 900, Washington, DC 20005 | 2020-10-27 |
| 1962028019 | Care for All Home Services, LLC | Case Management | 1402 N St Nw, Ste# 102, Washington, DC 20005 | 2020-06-24 |
| 1639704398 | Hazel Ware | Behavior Technician | 1200 G Street Nw, Suite 800, Washington, DC 20005 | 2020-03-03 |
| 1528692126 | Candace Wyman | Behavior Technician | 1200 G Street Nw, St, 800, Washington, DC 20005 | 2020-02-24 |
| 1336773936 | Janice Arana | Behavior Technician | 1200 G Street Nw, Ste 800, Washington, DC 20005 | 2020-02-24 |
| 1437796745 | Tinaisha Artis | Behavioral Analyst | 1100 H Street Nw, Suite 640, Washington,dc, DC 20005 | 2019-12-05 |
| 1255972212 | Viviane None Tankeu Djoteng | Home Health Aide | 1010 Vermont Street Suite 1003, Washington, DC 20005 | 2019-10-01 |
| 1891349353 | Natenael Teshome Jenfessa | Registered Nurse | 1504 Kingman Pl Nw, Washington, DC 20005 | 2019-08-01 |
| 1962963280 | Manual Medicine Spine and Sports Physical Therapy | Clinic/Center | 1015 15th St Nw, Ste 614k, Washington, DC 20005 | 2019-03-28 |
| 1245713726 | Erica Featherson | Psychologist | 601 13th St Nw, Washington, DC 20005 | 2018-09-11 |
| Find all providers in zip 20005 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182560 | Dervan Healthcare Services LLC | Clinic/Center | 3849 Pennsylvania Ave Se, Washington, DC 20020-1309 | 2019-09-09 |
| 1952869984 | Collin D. Cullen, M.d., LLC | Clinic/Center | 5410 Connecticut Ave Nw Ste 117, Washington, DC 20015-2831 | 2019-03-08 |
| 1356889406 | Godswill O Okoji Md Inc. | Clinic/Center | 1809 Benning Rd Ne, Washington, DC 20002-7211 | 2017-02-09 |
| 1568845832 | Sole Proprietor | Clinic/Center | 510 Locust Ave, Washington, PA 15301-3331 | 2015-07-06 |
| 1417350828 | Premium Select | Clinic/Center | 4303 F St Se, Washington, DC 20019-4253 | 2014-09-30 |
| 1316349202 | Heritage Visiting Practitioners, LLC | Clinic/Center | 150 N 1100 E Unit 49, Washington, UT 84780-2882 | 2014-09-22 |
| 1043621535 | Jacqueline Mclaughlin-edwards | Clinic/Center | 4061 Minnesota Ave Ne, Washington, DC 20019-3541 | 2014-05-19 |
| 1689907024 | Helen Lindsay Thompson | Clinic/Center | 3125 Cleveland Ave Nw, Washington, DC 20008-3534 | 2009-09-17 |
| 1831319276 | Julia Liss | Clinic/Center | 3105 14th Street Nw, Washington, DC 20010 | 2007-04-26 |
| 1922129105 | David T. Kirk and Associates | Clinic/Center | 206 Hospital Dr., Washington, GA 30673 | 2007-04-03 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20005 |
Please comment or provide details below to improve the information on MEDICAL AMBASSADOR HEALTHCARE, LLC.
| 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.