Provider Demographics
NPI:1326554999
Name:VERD COMPASSIONATE CARE LLC
Entity Type:Organization
Organization Name:VERD COMPASSIONATE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:WEAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:763-205-0388
Mailing Address - Street 1:3300 COUNTY ROAD 10 STE 320I
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3072
Mailing Address - Country:US
Mailing Address - Phone:763-205-0388
Mailing Address - Fax:763-205-5238
Practice Address - Street 1:3300 COUNTY ROAD 10 STE 320I
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429-3072
Practice Address - Country:US
Practice Address - Phone:763-205-0388
Practice Address - Fax:763-205-5238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN381921251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health