Provider Demographics
NPI:1902434210
Name:ARDENT HOSPICE, LLC
Entity Type:Organization
Organization Name:ARDENT HOSPICE, LLC
Other - Org Name:ARCY SUPPORTIVE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:M
Authorized Official - Last Name:GEILS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-293-1515
Mailing Address - Street 1:700 PARKER SQ STE 105
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-7448
Mailing Address - Country:US
Mailing Address - Phone:469-293-1515
Mailing Address - Fax:469-293-1530
Practice Address - Street 1:700 PARKER SQ STE 105
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-7448
Practice Address - Country:US
Practice Address - Phone:469-293-1515
Practice Address - Fax:469-293-1530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-31
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty