Provider Demographics
NPI:1134454796
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:763-208-1797
Mailing Address - Street 1:3300 COUNTY ROAD 10 STE 112
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN CENTER
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3064
Mailing Address - Country:US
Mailing Address - Phone:763-208-1797
Mailing Address - Fax:651-344-0590
Practice Address - Street 1:3300 COUNTY ROAD 10 STE 112
Practice Address - Street 2:
Practice Address - City:BROOKLYN CENTER
Practice Address - State:MN
Practice Address - Zip Code:55429
Practice Address - Country:US
Practice Address - Phone:763-208-1797
Practice Address - Fax:651-344-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-14
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN253Z00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care