Provider Demographics
NPI:1972714749
Name:THE ARDARA GROUP, LTD.
Entity Type:Organization
Organization Name:THE ARDARA GROUP, LTD.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:BLOODGOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-544-1444
Mailing Address - Street 1:3220 S HIGUERA ST
Mailing Address - Street 2:SUITE 311
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93401-6987
Mailing Address - Country:US
Mailing Address - Phone:805-544-1444
Mailing Address - Fax:805-544-4445
Practice Address - Street 1:1711 KLECK RD
Practice Address - Street 2:
Practice Address - City:PASO ROBLES
Practice Address - State:CA
Practice Address - Zip Code:93446-7127
Practice Address - Country:US
Practice Address - Phone:805-237-2821
Practice Address - Fax:805-237-0325
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)