Provider Demographics
NPI:1639251291
Name:ARDENT HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:ARDENT HOME HEALTH CARE INC.
Other - Org Name:ARDENT HOME HEALTH CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VANG
Authorized Official - Middle Name:
Authorized Official - Last Name:THONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-888-1271
Mailing Address - Street 1:1714 COPE AVE E
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-2664
Mailing Address - Country:US
Mailing Address - Phone:651-888-1271
Mailing Address - Fax:651-489-3657
Practice Address - Street 1:1714 COPE AVE E
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-2664
Practice Address - Country:US
Practice Address - Phone:651-888-1271
Practice Address - Fax:651-489-3657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN312415100OtherHOME HEALTHCARE INC.