Provider Demographics
NPI:1659191807
Name:AMBIENT HEALTH SOLUTIONS
Entity type:Organization
Organization Name:AMBIENT HEALTH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRANDON
Authorized Official - Middle Name:
Authorized Official - Last Name:SOULE'
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:540-413-7507
Mailing Address - Street 1:PO BOX 51
Mailing Address - Street 2:
Mailing Address - City:LA PLATA
Mailing Address - State:MD
Mailing Address - Zip Code:20646-0051
Mailing Address - Country:US
Mailing Address - Phone:540-413-7507
Mailing Address - Fax:
Practice Address - Street 1:1097 AGRICOPIA DR
Practice Address - Street 2:
Practice Address - City:LA PLATA
Practice Address - State:MD
Practice Address - Zip Code:20646-3269
Practice Address - Country:US
Practice Address - Phone:540-413-7507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No251E00000XAgenciesHome Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center