Provider Demographics
NPI:1578994729
Name:VERACITY HEALTH SYSTEMS LLC
Entity Type:Organization
Organization Name:VERACITY HEALTH SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MIRANDA
Authorized Official - Middle Name:BESSEM
Authorized Official - Last Name:MBUTAMBE
Authorized Official - Suffix:
Authorized Official - Credentials:BSC
Authorized Official - Phone:214-308-5685
Mailing Address - Street 1:1700 COMMERCE ST STE 1255
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75201-5360
Mailing Address - Country:US
Mailing Address - Phone:214-380-5685
Mailing Address - Fax:651-344-0590
Practice Address - Street 1:1700 COMMERCE ST STE 1255
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201-5360
Practice Address - Country:US
Practice Address - Phone:214-380-5685
Practice Address - Fax:651-344-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-12
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health