Provider Demographics
NPI:1497832893
Name:VENERATE HOME HEALTH EXPRESS LLC
Entity type:Organization
Organization Name:VENERATE HOME HEALTH EXPRESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:CHIDINMA
Authorized Official - Last Name:ONWUCHURUBA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:405-607-4400
Mailing Address - Street 1:5131 N CLASSEN BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73118-5258
Mailing Address - Country:US
Mailing Address - Phone:405-607-4400
Mailing Address - Fax:405-607-4464
Practice Address - Street 1:5131 N CLASSEN BLVD STE 208
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73118-5258
Practice Address - Country:US
Practice Address - Phone:405-607-4400
Practice Address - Fax:405-607-4464
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health