Provider Demographics
NPI:1588907281
Name:SHERIDAN VENTURES, INC.
Entity type:Organization
Organization Name:SHERIDAN VENTURES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:SHERIDAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:484-422-8654
Mailing Address - Street 1:2710 OLD CEDAR GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BROOMALL
Mailing Address - State:PA
Mailing Address - Zip Code:19008-1039
Mailing Address - Country:US
Mailing Address - Phone:484-422-8654
Mailing Address - Fax:
Practice Address - Street 1:106 W FRONT ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-3208
Practice Address - Country:US
Practice Address - Phone:484-422-8654
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NURSE NEXT DOOR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-01
Last Update Date:2013-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA04920501282E00000X, 314000000X, 310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No282E00000XHospitalsLong Term Care Hospital
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility