Provider Demographics
NPI:1023643061
Name:VENARKS HOSPICE INC
Entity type:Organization
Organization Name:VENARKS HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:
Authorized Official - Last Name:NWORKA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-703-5093
Mailing Address - Street 1:777 S CENTRAL EXPY STE 5F
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-7420
Mailing Address - Country:US
Mailing Address - Phone:214-484-4926
Mailing Address - Fax:469-914-9997
Practice Address - Street 1:777 S CENTRAL EXPY STE 5F
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-7420
Practice Address - Country:US
Practice Address - Phone:214-484-4926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty
No3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty