Organization Active NPI

Ardent Home Health Care, Inc.

  • Home Health Agency
  • San Leandro, CA
National Provider Identifier
1235600925
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Sep 1, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 559534
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Feb 20, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Celeste J Sumalpong Individual 5% Or Greater Direct Ownership InterestOwner Jul 31, 2018 20%
Corporate OfficerCfo Jul 31, 2018 100%
Corporate DirectorMember of the Board Jul 31, 2018 100%
Anthony J Reyes Individual 5% Or Greater Direct Ownership InterestOwner Jul 31, 2018 20%
Corporate OfficerPresident/Ceo Jul 31, 2018 100%
Corporate DirectorChairman of the Board If Directo Jul 31, 2018 100%
W-2 Managing EmployeePresident/Ceo; Chairman of the B Jul 31, 2018 100%
Nathaniel E Tacorda Individual 5% Or Greater Direct Ownership InterestOwner Jul 31, 2018 20%
Corporate OfficerSecretary Jul 31, 2018 100%
Corporate DirectorMember of the Board Jul 31, 2018 100%
Melissa B Batula Individual 5% Or Greater Direct Ownership InterestOwner Jul 31, 2018 20%
Corporate DirectorVice Chairman of the Board Jul 31, 2018 100%
Ruby J Collado Individual Operational/Managerial ControlAdministrator/DPCS Aug 1, 2018 100%
Hazel C Lee Individual 5% Or Greater Direct Ownership InterestOwner Jul 31, 2018 20%
Corporate OfficerCoo Jul 31, 2018 100%
Corporate DirectorMember of the Board Jul 31, 2018 100%
Myrna L Soriano Individual Operational/Managerial ControlMedical Director 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.

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": "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

Verify at the official NPI Registry.