Healthcare Provider Details

I. General information

NPI: 1508705302
Provider Name (Legal Business Name): VERITY BRIDGE CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2026
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4056 W 115TH ST APT 305
CHICAGO IL
60655-4335
US

IV. Provider business mailing address

4056 W 115TH ST APT 305
CHICAGO IL
60655-4335
US

V. Phone/Fax

Practice location:
  • Phone: 773-922-5739
  • Fax:
Mailing address:
  • Phone: 773-922-5739
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: IBRAHIM WAAEYS
Title or Position: OWNER
Credential:
Phone: 612-581-4992