Healthcare Provider Details

I. General information

NPI: 1619062304
Provider Name (Legal Business Name): VENTURE FORTHE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/09/2023
Certification Date: 06/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3900 PACKARD RD
NIAGARA FALLS NY
14303-2236
US

IV. Provider business mailing address

3900 PACKARD RD
NIAGARA FALLS NY
14303-2236
US

V. Phone/Fax

Practice location:
  • Phone: 716-285-8070
  • Fax:
Mailing address:
  • Phone: 716-285-8070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. THOMAS HOGAN
Title or Position: OPERATIONS DIRECTOR
Credential:
Phone: 716-285-8070