Active NPI
Ardent Home Health Care, Inc.
- Home Health Agency
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ARDENT HOME HEALTH CARE, INC.
- Practice address
- 1933 Davis St Ste 261
San Leandro, CA 94577-1264 - Phone
- (510) 289-5265
- NPI assigned
- Dec 6, 2018
- 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
- Melissa Batula
- Title
- Vice President
- Phone
- (510) 329-0528
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1933 Davis St Ste 261
San Leandro, CA 94577-1264
Mailing address
1933 Davis St Ste 261
San Leandro, CA 94577-1264
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190917003552 | CA | Part A Provider - Home Health Agency | 7810227808 | Practice locations: San Leandro, CA |
Home health agency certification: CCN 559534
- Legal name
- ARDENT HOME HEALTH CARE, INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Feb 20, 2007
- Last certification
- Jul 2, 2021
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jul 31, 2018 in CA
- Enrollment address
- 1933 Davis St
Ste 261
San Leandro, CA 94577-1264
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Ardent Home Health Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Feb 20, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
1933 Davis St
Ste 320
San Leandro, CA 94577
1933 Davis St
Ste 261
San Leandro, CA 94577
Phone (510) 289-5265
Ownership & related parties
All disclosed owners & managing parties 7
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 |
|---|---|---|---|
| Celeste J Sumalpong | 5% Or Greater Direct Ownership Interest | Jul 31, 2018 | 20% |
| Corporate Officer | Jul 31, 2018 | 100% | |
| Corporate Director | Jul 31, 2018 | 100% | |
| Anthony J Reyes | 5% Or Greater Direct Ownership Interest | Jul 31, 2018 | 20% |
| Corporate Officer | Jul 31, 2018 | 100% | |
| Corporate Director | Jul 31, 2018 | 100% | |
| W-2 Managing Employee | Jul 31, 2018 | 100% | |
| Nathaniel E Tacorda | 5% Or Greater Direct Ownership Interest | Jul 31, 2018 | 20% |
| Corporate Officer | Jul 31, 2018 | 100% | |
| Corporate Director | Jul 31, 2018 | 100% | |
| Melissa B Batula | 5% Or Greater Direct Ownership Interest | Jul 31, 2018 | 20% |
| Corporate Director | Jul 31, 2018 | 100% | |
| Ruby J Collado | Operational/Managerial Control | Aug 1, 2018 | 100% |
| Hazel C Lee | 5% Or Greater Direct Ownership Interest | Jul 31, 2018 | 20% |
| Corporate Officer | Jul 31, 2018 | 100% | |
| Corporate Director | Jul 31, 2018 | 100% | |
| Myrna L Soriano | Operational/Managerial Control | Aug 1, 2018 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Endocrinology, Diabetes & Metabolism Physician
- Langhorne, PA
- NPI 1639199383
Operational/Managerial Control
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Physical Medicine & Rehabilitation Physician
- Los Gatos, CA
- NPI 1932102332
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544054400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1630454400000",
"number": "1235600925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1933 DAVIS ST STE 261",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771264"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1933 DAVIS ST STE 261",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771264",
"telephone_number": "510-289-5265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARDENT HOME HEALTH CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-06",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A",
"authorized_official_last_name": "BATULA",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "510-329-0528"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"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 Sep 1, 2021; 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.