Provider Demographics
NPI:1043948383
Name:MOHLER, VENUS
Entity Type:Individual
Prefix:
First Name:VENUS
Middle Name:
Last Name:MOHLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19145 RAPIDS RD
Mailing Address - Street 2:
Mailing Address - City:HIRAM
Mailing Address - State:OH
Mailing Address - Zip Code:44234-9668
Mailing Address - Country:US
Mailing Address - Phone:330-221-4392
Mailing Address - Fax:
Practice Address - Street 1:19145 RAPIDS RD
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:OH
Practice Address - Zip Code:44234-9668
Practice Address - Country:US
Practice Address - Phone:330-221-4392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-14
Last Update Date:2022-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0500295Medicaid