Provider Demographics
NPI:1124999255
Name:ARDENT HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:ARDENT HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WARSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GULED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-459-6861
Mailing Address - Street 1:5100 LEESBURG PIKE STE 200D
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22302-1000
Mailing Address - Country:US
Mailing Address - Phone:703-459-6861
Mailing Address - Fax:571-234-6070
Practice Address - Street 1:5100 LEESBURG PIKE STE 200D
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22302-1000
Practice Address - Country:US
Practice Address - Phone:703-459-6861
Practice Address - Fax:571-234-6070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-12
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health