Active NPI
Ardent Hospice Services Inc.
- Community Based Hospice Care Agency
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2026
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@ardent-hospice.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Ownership
- For-Profit
- Certified
- Nov 7, 2020
- Medicare certification status
- Active
National Provider Directory
National Provider Directory- Tax ID family
- Ardent Hospice Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Hayward, CA
- NPI 1346860723
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Eduardo R Mercado | 5% Or Greater Direct Ownership Interest | Nov 1, 2022 | 50% |
| Corporate Officer | Nov 1, 2022 | 50% | |
| Corporate Director | Nov 1, 2022 | 50% | |
| W-2 Managing Employee | Nov 1, 2022 | 50% | |
| Operational/Managerial Control | Nov 1, 2022 | 50% | |
| Tyrone E Snipes | Contracted Managing Employee | Jan 1, 2024 | |
| Andrea D Mercado | 5% Or Greater Direct Ownership Interest | Nov 1, 2022 | 50% |
| Corporate Officer | Nov 1, 2022 | 50% | |
| Corporate Director | Nov 1, 2022 | 50% | |
| W-2 Managing Employee | Nov 1, 2022 | 50% | |
| Operational/Managerial Control | Nov 1, 2022 | 50% | |
| Natasha Marie P Cabasag | Corporate Officer | Dec 20, 2021 | |
| Corporate Director | Dec 20, 2021 | ||
| W-2 Managing Employee | Dec 20, 2021 | 100% | |
| Operational/Managerial Control | 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.
-
- Internal Medicine Physician
- San Leandro, CA
- NPI 1861627457
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.