Active NPI
Ardent Care Hospice Inc
- Community Based Hospice Care Agency
- Van Nuys, CA
National Provider Identifier
1396007167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- ARDENT CARE HOSPICE INC
- Practice address
- 6740 Vesper Ave Ste 200
Van Nuys, CA 91405-4612 - Phone
- (818) 387-6131
- Fax
- (888) 667-5329
- NPI assigned
- Jun 8, 2012
- 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
- Ms. Sharon Gatchalian
- Title
- Ceo
- Phone
- (818) 387-6131
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6740 Vesper Ave Ste 200
Van Nuys, CA 91405-4612
Mailing address
6740 Vesper Ave Ste 200
Van Nuys, CA 91405-4612
Phone (818) 387-6131
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221208000220 | CA | Part A Provider - Hospice | 1456507904 | Practice locations: Burbank, CA |
Hospice certification: CCN D61536
- Legal name
- ARDENT CARE HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 15, 2024
- Last certification
- May 8, 2024
- Organization structure
- Corporation
- Incorporated
- Feb 17, 2012 in CA
- Enrollment address
- 500 E Olive Ave
Ste 860
Burbank, CA 91501-3316
Care Compare: Hospice
Medicare Care Compare- Listed as
- Ardent Care Hospice, Inc
- Certified
- May 15, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
500 E Olive Ave
Ste 860
Burbank, CA 91501
Phone (818) 841-6130
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Jeannette M Lilly | 5% Or Greater Direct Ownership Interest | Jul 25, 2017 | 35% |
| Catalina M Domingo | Corporate Director | Jan 3, 2022 | |
| W-2 Managing Employee | Jan 3, 2022 | ||
| Operational/Managerial Control | Jan 3, 2022 | ||
| Nellie Francisco | 5% Or Greater Direct Ownership Interest | Jul 25, 2017 | 65% |
| Corporate Officer | Jul 25, 2017 | 100% | |
| Corporate Director | Jul 25, 2017 | 100% | |
| W-2 Managing Employee | Jul 25, 2017 | 100% | |
| Operational/Managerial Control | Jul 25, 2017 | 100% |
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": "1339113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339113600000",
"number": "1396007167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6740 VESPER AVE STE 200",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054612",
"telephone_number": "818-387-6131",
"fax_number": "888-667-5329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6740 VESPER AVE STE 200",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914054612",
"telephone_number": "818-387-6131",
"fax_number": "888-667-5329"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARDENT CARE HOSPICE INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-08",
"last_updated": "2012-06-08",
"status": "A",
"authorized_official_last_name": "GATCHALIAN",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-387-6131",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.