Provider Demographics
NPI:1508815317
Name:VENTCARE, INC.
Entity Type:Organization
Organization Name:VENTCARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:RCP
Authorized Official - Phone:877-836-8227
Mailing Address - Street 1:7602 GREENOCK WAY
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92508-6096
Mailing Address - Country:US
Mailing Address - Phone:877-836-8227
Mailing Address - Fax:951-328-9900
Practice Address - Street 1:6845 INDIANA AVE
Practice Address - Street 2:102A
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92506-4206
Practice Address - Country:US
Practice Address - Phone:877-836-8227
Practice Address - Fax:951-328-9900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA912002SREH100055179332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA5613510001Medicare NSC