Provider Demographics
NPI:1366785842
Name:ARDENT HOSPICE OF THE DESERT, INC.
Entity type:Organization
Organization Name:ARDENT HOSPICE OF THE DESERT, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:SUSAN
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:619-306-7676
Mailing Address - Street 1:1750 E ARENAS RD
Mailing Address - Street 2:SUITE 21
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-7139
Mailing Address - Country:US
Mailing Address - Phone:619-306-7676
Mailing Address - Fax:
Practice Address - Street 1:1750 E ARENAS RD
Practice Address - Street 2:SUITE 21
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7139
Practice Address - Country:US
Practice Address - Phone:619-306-7676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-03
Last Update Date:2020-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA751714Medicare Oscar/Certification