Provider Demographics
NPI:1558611228
Name:ARDENT HOSPICE & PALLIATIVE CARE, INC.
Entity Type:Organization
Organization Name:ARDENT HOSPICE & PALLIATIVE CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:619-306-7676
Mailing Address - Street 1:16486 BERNARDO CENTER DRIVE
Mailing Address - Street 2:SUITE 348
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-2518
Mailing Address - Country:US
Mailing Address - Phone:858-952-1786
Mailing Address - Fax:888-519-1241
Practice Address - Street 1:16486 BERNARDO CENTER DRIVE
Practice Address - Street 2:SUITE 348
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2518
Practice Address - Country:US
Practice Address - Phone:858-952-1786
Practice Address - Fax:888-519-1241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251G00000X, 251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1558611228OtherMEDI-CAL
CA1558611228OtherMEDI-CAL