Provider Demographics
NPI:1760676506
Name:VENTUS HOME HEALTH LLC
Entity Type:Organization
Organization Name:VENTUS HOME HEALTH LLC
Other - Org Name:NONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR/MGMR
Authorized Official - Prefix:
Authorized Official - First Name:ELSA
Authorized Official - Middle Name:
Authorized Official - Last Name:VEGA-RODRIGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MANAGER MEMBER
Authorized Official - Phone:305-264-5404
Mailing Address - Street 1:7175 SW 8TH ST STE 212
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4673
Mailing Address - Country:US
Mailing Address - Phone:305-264-5404
Mailing Address - Fax:305-264-3455
Practice Address - Street 1:7175 SW 8TH ST STE 212
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4673
Practice Address - Country:US
Practice Address - Phone:305-264-5404
Practice Address - Fax:305-264-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-05
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA299992795251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLHHA2999992795OtherHOME HEALTH AGENCY