The Venus Home Care-Indiana LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

THE VENUS HOME CARE-INDIANA LLC

Practice address

19303 Pendle Rd
South Bend, IN 46637-3608

Phone

(574) 323-4955

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Manicar FernandezNPI 1477750396

Title

Owner

Phone

(574) 323-4955

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Manicar Domantay Fernandez, PT

  • Physical Therapist
  • Mishawaka, IN
  • NPI 1477750396
  NPD Authorized official

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1265167902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17647 WOODRIDGE CT",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466351052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19303 PENDLE RD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466373608",
            "telephone_number": "574-323-4955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VENUS HOME CARE-INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "FERNANDEZ",
        "authorized_official_first_name": "MANICAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "574-323-4955"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The South Bend Clinic LLC
• The South Bend Clinic LLP
• The South Bend Clinic LLP
• The South Bend Clinic Pharmacy
• The South Bend Clinic, LLC
• Michael Joseph Theall, LMHC
• Kristine A. Thelen, LCSW
• Therapeutic Indulgence
• Therapeutic Interventions & Solutions
• Samantha Thibos, BCBA

• In Home Supportive Care Agency in South Bend, IN
• Providers in South Bend, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.