Provider Demographics
NPI:1629584693
Name:VERACITY HEALTH SYSTEMS LLC
Entity Type:Organization
Organization Name:VERACITY HEALTH SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MBUTAMBE
Authorized Official - Middle Name:ARREY
Authorized Official - Last Name:AKPANG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:202-658-6844
Mailing Address - Street 1:2221 PENINSULA DR # 11
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16506-2954
Mailing Address - Country:US
Mailing Address - Phone:814-283-4777
Mailing Address - Fax:814-217-1591
Practice Address - Street 1:2221 PENINSULA DR # 11
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16506-2954
Practice Address - Country:US
Practice Address - Phone:814-283-4777
Practice Address - Fax:814-217-1591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-28
Last Update Date:2017-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 251S00000X, 251X00000X, 310400000X, 3104A0630X, 343900000X, 385H00000X
PA251J00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health
No251X00000XAgenciesSupports Brokerage
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No385H00000XRespite Care FacilityRespite Care