Provider Demographics
NPI:1568771947
Name:ARDENT GENERATIONS LLC
Entity Type:Organization
Organization Name:ARDENT GENERATIONS LLC
Other - Org Name:HOME HELPERS OF SOUTHERN MAINE, AND DIRECT LINK OF SOUTHERN MAINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:JOHANNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:GILLAND
Authorized Official - Suffix:
Authorized Official - Credentials:MACCCSLP
Authorized Official - Phone:207-710-0987
Mailing Address - Street 1:754A ALFRED RD
Mailing Address - Street 2:
Mailing Address - City:ARUNDEL
Mailing Address - State:ME
Mailing Address - Zip Code:04046-8708
Mailing Address - Country:US
Mailing Address - Phone:207-710-0987
Mailing Address - Fax:207-710-0986
Practice Address - Street 1:754A ALFRED RD
Practice Address - Street 2:
Practice Address - City:ARUNDEL
Practice Address - State:ME
Practice Address - Zip Code:04046-8708
Practice Address - Country:US
Practice Address - Phone:207-710-0987
Practice Address - Fax:207-710-0986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-01
Last Update Date:2012-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No333300000XSuppliersEmergency Response System Companies