Provider Demographics
NPI:1790226827
Name:ARDENT HOSPICE & PALLIATIVE CARE OF THE VALLEY, INC.
Entity Type:Organization
Organization Name:ARDENT HOSPICE & PALLIATIVE CARE OF THE VALLEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
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 1:2040 N WINERY AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93703-4814
Mailing Address - Country:US
Mailing Address - Phone:559-408-5945
Mailing Address - Fax:
Practice Address - Street 1:601 HIGH ST UNIT E
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-2969
Practice Address - Country:US
Practice Address - Phone:619-306-7676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-08
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based