AMBONI HEALTHSOURCE LLC
NPI 1073136800
Community/Behavioral Health in Richmond, TX

Q: What is Amboni Healthsource LLC's NPI number?

The NPI number for Amboni Healthsource LLC is 1073136800. It was assigned to this organization in the NPPES registry on May 27, 2020.

Q: What is Amboni Healthsource LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since May 27, 2020

25630 FARRIER DR, RICHMOND, TX 77406(214) 830-9906 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 13, 2024, Apr 24, 2024, May 27, 2020 (3 updates tracked since 2020).

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About Amboni Healthsource Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMBONI HEALTHSOURCE LLC (NPI 1073136800) is a healthcare organization registered as a community/behavioral health in Richmond, Texas and active in the NPI registry since May 2020. The organization lists Prosper Kiswaga, Md, as its authorized official.

NPPES Registry Identity

NPI1073136800

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameAMBONI HEALTHSOURCE LLC

Location Address25630 FARRIER DRRichmond, TX 77406-1468

Mailing Address25630 Farrier DrRichmond, TX 77406-1468 · (214) 830-9906

Phone(214) 830-9906

Organization SubpartNo

Authorized OfficialProsper KiswagaMd · (214) 830-9906

Enumeration DateMay 27, 2020

Last NPPES UpdateJune 13, 20243 updates tracked since enumeration

NPPES CertifiedJune 13, 2024

✔ NPI 1073136800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

25630 FARRIER DR, Richmond, TX 77406

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amboni Healthsource LLC's NPI number?

The NPI number for Amboni Healthsource LLC is 1073136800. It was assigned to this organization in the NPPES registry on May 27, 2020.

Where is Amboni Healthsource LLC located?

Amboni Healthsource LLC is located at 25630 Farrier Dr, Richmond, TX 77406. The listed phone number is (214) 830-9906.

What is Amboni Healthsource LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Amboni Healthsource LLC was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.