Provider Demographics
NPI:1891196432
Name:VERUS HEALTHCARE, LLC
Entity Type:Organization
Organization Name:VERUS HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-206-0040
Mailing Address - Street 1:1569 MALLORY LN BLDG 100
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2872
Mailing Address - Country:US
Mailing Address - Phone:800-487-5566
Mailing Address - Fax:
Practice Address - Street 1:561 HIGHWAY 78
Practice Address - Street 2:SUITE 102
Practice Address - City:SUMITON
Practice Address - State:AL
Practice Address - Zip Code:35148
Practice Address - Country:US
Practice Address - Phone:800-487-5566
Practice Address - Fax:877-764-5264
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:VERUS HEALTHCARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-09-15
Last Update Date:2021-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1143332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5485720004Medicare NSC