Organization Active NPI

Ardent Care Hospice Inc

  • Community Based Hospice Care Agency
  • Van Nuys, CA
National Provider Identifier
1396007167
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Jun 8, 2012

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN D61536
Certified
May 15, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jeannette M Lilly Individual 5% Or Greater Direct Ownership Interest Jul 25, 2017 35%
Catalina M Domingo Individual Corporate DirectorDirector of Patient Care Service Jan 3, 2022
W-2 Managing EmployeeDirector of Patient Care Service Jan 3, 2022
Operational/Managerial ControlDirector of Patient Care Service Jan 3, 2022
Nellie Francisco Individual 5% Or Greater Direct Ownership Interest Jul 25, 2017 65%
Corporate OfficerCeo/Cfo/Secretary/Admin Jul 25, 2017 100%
Corporate DirectorCeo/Cfo/Secretary/Admin Jul 25, 2017 100%
W-2 Managing EmployeeCeo/Cfo/Secretary/Admin Jul 25, 2017 100%
Operational/Managerial ControlCeo/Cfo/Secretary/Admin 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

Verify at the official NPI Registry.