Provider Demographics
NPI:1992116776
Name:ARDENT HEALTHCARE
Entity type:Organization
Organization Name:ARDENT HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-498-6096
Mailing Address - Street 1:2665 VILLA CREEK DR # A255
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75234-7309
Mailing Address - Country:US
Mailing Address - Phone:214-498-6096
Mailing Address - Fax:972-373-0028
Practice Address - Street 1:2665 VILLA CREEK DR # A255
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75234-7309
Practice Address - Country:US
Practice Address - Phone:214-498-6096
Practice Address - Fax:972-373-0028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies