Organization Active NPI

Ardent Hospice Services Inc.

  • Community Based Hospice Care Agency
  • San Leandro, CA
National Provider Identifier
1174167936
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ARDENT HOSPICE SERVICES INC.
Practice address
14868 Wicks Blvd
San Leandro, CA 94577-6606
Phone
(510) 940-8154
Fax
(855) 940-8155
NPI assigned
Nov 4, 2019
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Eduardo R Mercado Jr.
Title
Cfo
Phone
(510) 940-8154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

14868 Wicks Blvd
San Leandro, CA 94577-6606

Mailing address

14868 Wicks Blvd
San Leandro, CA 94577-6606
Phone (510) 940-8154

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@ardent-hospice.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191205002282 CA Part A Provider - Hospice 2668805698 Practice locations: Hayward, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174167936. Details of each certification follow.

Hospice certification: CCN A11557

Legal name
ARDENT HOSPICE SERVICES INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 7, 2020
Last certification
Nov 7, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Oct 8, 2019 in CA
Enrollment address
24301 Southland Dr
Ste B10
Hayward, CA 94545-1542

Care Compare: Hospice

Medicare Care Compare
Listed as
A1 Pro Hospice CareCCN A11557 · All quality measures
Ownership
For-Profit
Certified
Nov 7, 2020
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Ardent Hospice Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

24301 Southland Dr
Ste B
Hayward, CA 94545

24301 Southland Dr
Ste B10
Hayward, CA 94545
Phone (510) 940-8154

14868 Wicks Blvd
San Leandro, CA 94577
Phone (510) 940-8154

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Eduardo R Mercado Individual 5% Or Greater Direct Ownership Interest Nov 1, 2022 50%
Corporate OfficerTreasurer/Cfo Nov 1, 2022 50%
Corporate DirectorBoard Member/Governing Body Memb Nov 1, 2022 50%
W-2 Managing EmployeeCfo Nov 1, 2022 50%
Operational/Managerial ControlAdministrator Nov 1, 2022 50%
Tyrone E Snipes Individual Contracted Managing EmployeeMD; Jan 1, 2024
Andrea D Mercado Individual 5% Or Greater Direct Ownership Interest Nov 1, 2022 50%
Corporate OfficerPresident Nov 1, 2022 50%
Corporate DirectorBoard Member Nov 1, 2022 50%
W-2 Managing EmployeePresident/Governing Body Member/ Nov 1, 2022 50%
Operational/Managerial ControlGoverning Body Member Nov 1, 2022 50%
Natasha Marie P Cabasag Individual Corporate OfficerTreasurer Dec 20, 2021
Corporate DirectorBoard Member/Admin/Governing B Dec 20, 2021
W-2 Managing EmployeeAdministrator Dec 20, 2021 100%
Operational/Managerial ControlAdministrator Apr 16, 2020 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1174167936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14868 WICKS BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776606",
            "telephone_number": "510-940-8154",
            "fax_number": "855-940-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14868 WICKS BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945776606",
            "telephone_number": "510-940-8154",
            "fax_number": "855-940-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDENT HOSPICE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-04",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "MERCADO",
        "authorized_official_first_name": "EDUARDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "510-940-8154",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@ardent-hospice.com",
            "affiliation": "N",
            "address_1": "14868 Wicks Blvd",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945776606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

Verify at the official NPI Registry.