Provider Demographics
NPI:1235019548
Name:VERENVA GROUP LLC
Entity type:Organization
Organization Name:VERENVA GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLIVER
Authorized Official - Middle Name:SOLEDAD
Authorized Official - Last Name:PAHILA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-714-4177
Mailing Address - Street 1:213 E BUTLER RD STE A1
Mailing Address - Street 2:
Mailing Address - City:MAULDIN
Mailing Address - State:SC
Mailing Address - Zip Code:29662-2172
Mailing Address - Country:US
Mailing Address - Phone:864-714-4177
Mailing Address - Fax:864-757-1629
Practice Address - Street 1:213 E BUTLER RD STE A1
Practice Address - Street 2:
Practice Address - City:MAULDIN
Practice Address - State:SC
Practice Address - Zip Code:29662-2172
Practice Address - Country:US
Practice Address - Phone:864-714-4177
Practice Address - Fax:864-757-1629
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care