Healthcare Provider Details

I. General information

NPI: 1801870712
Provider Name (Legal Business Name): VENICE NH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2005
Last Update Date: 06/27/2021
Certification Date: 06/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

832 SUNSET LAKE BLVD
VENICE FL
34292-7550
US

IV. Provider business mailing address

832 SUNSET LAKE BLVD
VENICE FL
34292-7550
US

V. Phone/Fax

Practice location:
  • Phone: 941-492-5313
  • Fax: 941-492-5315
Mailing address:
  • Phone: 941-492-5313
  • Fax: 941-492-5315

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF15720961
License Number StateFL

VIII. Authorized Official

Name: MOSHE SCHEINER
Title or Position: CEO
Credential:
Phone: 813-557-6200