Venus Home Healthcare

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

VENUS HOME HEALTHCARE

Practice address

4242 SW Baltic St
Port Saint Lucie, FL 34953-3141

Phone

(561) 507-7567

NPI assigned

Jun 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Anderson Mabout

Title

Administrator

Phone

(561) 507-7567

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687824000000",
    "number": "1023701331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4242 SW BALTIC ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4242 SW BALTIC ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349533141",
            "telephone_number": "561-507-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENUS HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A",
        "authorized_official_last_name": "MABOUT",
        "authorized_official_first_name": "ANDERSON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "561-507-7567",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vedadevi 2 LLC
• Elizabeth Vega-Valentin, B.S
• Jaqueline Velez Villa
• Nicole M Vendette, BCBA
• Venus Care Services LLC
• Hannah Vergara
• Very Caring Hands Home Care LLC
• Audrey Dawn Vickers
• Katy Ruth Vickers
• Sylvia Louise Vickers, LCSW

• Developmental Disabilities Clinic/Center in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.