AMBASSADOR MEDICAL SUPPLY OF TEXAS INC (NPI# 1760432538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760432538 |
| Entity Type | Organization |
| Organization Name | AMBASSADOR MEDICAL SUPPLY OF TEXAS INC |
| Other Organization Name | COMMUNITY CARE CENTER OF STAMFORD |
| Practice Address |
1003 Columbia Street Stamford TX 79553 |
| Mailing Address |
1714 Teasley Lane Denton TX 76205 |
| Practice Telephone | 3257733671 |
| Practice Fax Number | 3257735751 |
| Mailing Telephone | 9402206440 |
| Mailing Fax Number | 9402206443 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JUSTIN FREEBOURN (PRESIDENT) |
| Authorized Official Telephone | 9402206440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 120372 | TX | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Community Care Center of Stamford | Doing Business As Name - Organization |
| Street Address |
1003 COLUMBIA STREET |
| City | STAMFORD |
| State | TX |
| Zip Code | 79553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124302955 | Stamford Hospital District | Assisted Living Facility | 1700 Columbia St, Stamford, TX 79553 | 2011-09-28 |
| 1538100136 | Stamford Hospital District | Clinic/Center | 1601 Columbia St Ste A, Stamford, TX 79553 | 2006-06-08 |
| 1174589683 | Sagebrush Living Center Ltd | Intermediate Care Facility, Mental Illness | 1101 Columbia, Stamford, TX 79553 | 2006-04-24 |
| 1548384043 | Stamford Hospital District | Clinic/Center | 1601 Columbia St, Stamford, TX 79553 | 2007-03-19 |
| 1487075941 | Yuming Cao | Pharmacist | 1608 N Swenson St, Stamford, TX 79553-2908 | 2013-12-30 |
| 1417974676 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2614 N Swenson St, Stamford, TX 79553-2953 | 2006-07-16 |
| 1821453465 | Beyondfaith Homecare & Rehab of Stamford, LLC | Home Health | 107 E Mcharg St, Stamford, TX 79553-4601 | 2015-12-28 |
| 1588807754 | Bryan Elliott Patterson | Physical Therapist | 120 S Swenson St, Stamford, TX 79553-4624 | 2009-04-16 |
| 1366563090 | Stamford Ems, Inc | Ambulance | 301 E Hamilton St, Stamford, TX 79553-4721 | 2007-04-02 |
| 1104287614 | Stamford Independent School District | Local Education Agency (LEA) | 507 S Orient St, Stamford, TX 79553-5701 | 2016-03-10 |
| Find all providers in zip 79553 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255851481 | Stella Medical Care LLC | Skilled Nursing Facility | Villa At Stamford 88 Rock Rimmon Rd, Stamford, CT 06903 | 2017-06-20 |
| 1710295217 | Regency Heights of Stamford, LLC | Skilled Nursing Facility | 53 Courtland Ave, Stamford, CT 06902-3401 | 2010-09-17 |
| 1174696017 | City of Stamford | Skilled Nursing Facility | 88 Rock Rimmon Road, Stamford, CT 06903 | 2006-11-16 |
| 1154362887 | Teakwood Manor, LLC | Skilled Nursing Facility | 1003 Columbia St, Stamford, TX 79553-6825 | 2006-06-10 |
| 1902844921 | Hbr Stamford LLC | Skilled Nursing Facility | 494 Elm St, Stamford, CT 06902-5115 | 2006-06-03 |
| 1477518074 | Continuing Care Retirement Community of Great | Skilled Nursing Facility | 122 Palmers Hill Road, Stamford, CT 06902-2134 | 2006-04-18 |
| 1811995657 | 710 Long Ridge Road Operating Company II LLC | Skilled Nursing Facility | 710 Long Ridge Rd, Stamford, CT 06902-1226 | 2005-07-13 |
| 1316942428 | Center for Continuing Care of Greater Stamford, Inc | Skilled Nursing Facility | 146 W Broad St, Stamford, CT 06902-3633 | 2005-06-15 |
| 1487292546 | St Camillus Stamford Opco LLC | Skilled Nursing Facility | 494 Elm St, Stamford, CT 06902-5115 | 2019-12-19 |
| 1053881326 | Stamford Healthcare Management LLC | Skilled Nursing Facility | 1003 Columbia St, Stamford, TX 79553-6825 | 2018-11-29 |
| Find all providers in STAMFORD | ||||
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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.