Provider Demographics
NPI:1447756663
Name:VENUS PROPERTIES, LLC
Entity Type:Organization
Organization Name:VENUS PROPERTIES, LLC
Other - Org Name:SUNSHINE GARDENS ASSISTED LIVING & MEMORY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SRINIVAS
Authorized Official - Middle Name:
Authorized Official - Last Name:GUNDALA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:618-303-2716
Mailing Address - Street 1:442 COMFORT DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959-4927
Mailing Address - Country:US
Mailing Address - Phone:618-364-0482
Mailing Address - Fax:618-364-0484
Practice Address - Street 1:442 COMFORT DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959-4927
Practice Address - Country:US
Practice Address - Phone:618-364-0482
Practice Address - Fax:618-364-0484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VENUS PROPERTIES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
310400000X
IL5105215311500000X, 385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No385H00000XRespite Care FacilityRespite Care