1366785842 NPI number — ARDENT HOSPICE OF THE DESERT, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1366785842 NPI number — ARDENT HOSPICE OF THE DESERT, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ARDENT HOSPICE OF THE DESERT, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1366785842
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/17/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1750 E ARENAS RD
Provider Second Line Business Mailing Address:
SUITE 21
Provider Business Mailing Address City Name:
PALM SPRINGS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92262-7139
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-306-7676
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1750 E ARENAS RD
Provider Second Line Business Practice Location Address:
SUITE 21
Provider Business Practice Location Address City Name:
PALM SPRINGS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92262-7139
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-306-7676
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2013

Additional Information

Authorized Official

Authorized Official Last Name:
COMPTON
Authorized Official First Name:
MARTHA
Authorized Official Middle Name:
SUSAN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
619-306-7676

Provider Taxonomy Codes

  • Taxonomy code: 251G00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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