Healthcare Provider Details

I. General information

NPI: 1871927665
Provider Name (Legal Business Name): VENUS HEALTHCARE INCORPOATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2013
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 CAROLYN T HUNT DR
CEDAR HILL TX
75104-7347
US

IV. Provider business mailing address

711 CAROLYN T HUNT DR
CEDAR HILL TX
75104-7347
US

V. Phone/Fax

Practice location:
  • Phone: 469-273-0356
  • Fax: 817-466-7273
Mailing address:
  • Phone: 469-273-0356
  • Fax: 817-466-7273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State

VIII. Authorized Official

Name: HYGINUS OBINWANNE
Title or Position: OWNER
Credential: RN
Phone: 469-273-0356