Provider Demographics
NPI:1629712138
Name:ARDENT HOME CARE LLC
Entity Type:Organization
Organization Name:ARDENT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:MONTELONGO
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:682-320-3219
Mailing Address - Street 1:2301 CLOWER
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78201-3343
Mailing Address - Country:US
Mailing Address - Phone:682-320-3219
Mailing Address - Fax:
Practice Address - Street 1:2301 CLOWER
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78201-3343
Practice Address - Country:US
Practice Address - Phone:682-320-3219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health