Organization Active NPI

Venus Senior LLC

  • Adult Day Care Clinic/Center
  • Newark, CA
National Provider Identifier
1891294328
Registry record updated Feb 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
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

Updated by the provider on Feb 10, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12345OtherCAMANAGED CARE ORGANIZATIONS
12345MedicaidCA

Other names 1

  • Venus Senior Adult Day Health Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.