Healthcare Provider Details

I. General information

NPI: 1508815317
Provider Name (Legal Business Name): VENTCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2006
Last Update Date: 04/25/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6845 INDIANA AVE 102A
RIVERSIDE CA
92506-4206
US

IV. Provider business mailing address

7602 GREENOCK WAY
RIVERSIDE CA
92508-6096
US

V. Phone/Fax

Practice location:
  • Phone: 877-836-8227
  • Fax: 951-328-9900
Mailing address:
  • Phone: 877-836-8227
  • Fax: 951-328-9900

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number912002SREH100055179
License Number StateCA

VIII. Authorized Official

Name: MR. MARTIN SILVA
Title or Position: OWNER
Credential: RCP
Phone: 877-836-8227