Organization · NPI-2
Ardent Healthcare Services LLC
In Home Supportive Care · Stafford, VA
NPI number1144902453
StatusActive
Last updated in NPPESAug 20, 2025
Details
- NPI
- 1144902453
- Entity type
- Organization (NPI-2)
- Legal business name
- Ardent Healthcare Services LLC
- Organization subpart
- No
- Enumeration date
- Aug 4, 2023
- Certification date
- Aug 20, 2025
- Last updated
- Aug 20, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 385H00000X | Respite Care | – | – | |
| 251E00000X | Home Health | – | – | |
| 3747P1801X | Technician, Personal Care Attendant | – | – | |
| 374U00000X | Home Health Aide | – | – |
Practice location
202 Marianne PlStafford, VA 22554-1621
Phone 571-275-0132
Mailing address
202 Marianne PlStafford, VA 22554-1621
Phone 571-275-0132
Authorized official
Khadija Macaully
Director/Ceo
5712750132
Is something wrong?
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