Venerable Legacy LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

VENERABLE LEGACY LLC

Practice address

2939 Crockett St Apt 309S
Fort Worth, TX 76107-2955

Phone

(682) 268-3998

NPI assigned

Nov 17, 2020

Last updated

Nov 17, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Whitney Copeland

Title

Ceo/Owner

Phone

(682) 268-3998

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1255934964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 CROCKETT ST APT 309S",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072955",
            "telephone_number": "682-268-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 CROCKETT ST APT 309S",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761072955",
            "telephone_number": "682-268-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENERABLE LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "COPELAND",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "682-268-3998"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "whitneycopeland@venerablelegacy.com",
            "affiliation": "N",
            "address_1": "2939 Crockett St Apt 309S",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761072955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Soumya Vempalle, M.D.
• Samantha Vemuri, PA-C
• Anna M Venardos, M.D.
• Marlene Venegas-Ramirez
• Srilatha Venepally, M.D
• Subhash Venigalla
• Venkat Namburu MD PA
• Christie Marie Vennel, RN
• Sandia Venord
• Jessica Venzor

• Home Health Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.