Provider Demographics
NPI:1578523726
Name:VERITAS HOME HEALTH, LLC
Entity Type:Organization
Organization Name:VERITAS HOME HEALTH, LLC
Other - Org Name:VERITAS HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAYFER
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, AGNP-C
Authorized Official - Phone:972-519-0308
Mailing Address - Street 1:2825 REGAL RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75075-6318
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2825 REGAL RD
Practice Address - Street 2:SUITE 105
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-6318
Practice Address - Country:US
Practice Address - Phone:972-519-0308
Practice Address - Fax:972-519-8331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2024-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009798251E00000X
253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677811Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER