Provider Demographics
NPI:1659773075
Name:VENUS MEDICAL STAFFING, LLC
Entity Type:Organization
Organization Name:VENUS MEDICAL STAFFING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:L
Authorized Official - Last Name:UPMANIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-505-4477
Mailing Address - Street 1:610 HOMESTEAD RD
Mailing Address - Street 2:
Mailing Address - City:BRIELLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08730-2020
Mailing Address - Country:US
Mailing Address - Phone:732-300-7637
Mailing Address - Fax:
Practice Address - Street 1:1579 OLD FREEHOLD ROAD
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755
Practice Address - Country:US
Practice Address - Phone:732-505-4477
Practice Address - Fax:732-349-2949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJHP0166300OtherNJ CONSUMER AFFAIRS