Active NPI
Venus Senior LLC
- Adult Day Care Clinic/Center
- Newark, CA
National Provider Identifier
1891294328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- VENUS SENIOR LLC
- Doing business as
- Venus Senior Adult Day Health Care Center
- Practice address
- 35145 Newark Blvd
Newark, CA 94560-1219 - Phone
- (510) 791-2492
- Fax
- (510) 494-1525
- NPI assigned
- Feb 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Mayank Patel
- Title
- Managing Member
- Phone
- (510) 648-8254
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | Primary |
Addresses
Primary practice location
35145 Newark Blvd
Newark, CA 94560-1219
Mailing address
35145 Newark Blvd
Newark, CA 94560-1219
Phone (510) 791-2492
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345 | Other | CA | MANAGED CARE ORGANIZATIONS |
| 12345 | Medicaid | CA |
Other names 1
- Venus Senior Adult Day Health Care Center
National Provider Directory
National Provider DirectoryLocations
35145 Newark Blvd
Newark, CA 94560
Phone (510) 791-2492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518220800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518220800000",
"number": "1891294328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35145 NEWARK BLVD",
"city": "NEWARK",
"state": "CA",
"postal_code": "945601219",
"telephone_number": "510-791-2492",
"fax_number": "510-494-1525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35145 NEWARK BLVD",
"city": "NEWARK",
"state": "CA",
"postal_code": "945601219",
"telephone_number": "510-791-2492",
"fax_number": "510-494-1525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VENUS SENIOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-10",
"last_updated": "2018-02-10",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "MAYANK",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "510-648-8254",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED CARE ORGANIZATIONS",
"identifier": "12345",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12345",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Venus Senior Adult Day Health Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Newark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.