Healthcare Provider Details

I. General information

NPI: 1134454796
Provider Name (Legal Business Name): VERACITY HEALTH SYSTEMS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 07/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 COUNTY ROAD 10 STE 112
BROOKLYN CENTER MN
55429
US

IV. Provider business mailing address

3300 COUNTY ROAD 10 STE 112
BROOKLYN CENTER MN
55429-3064
US

V. Phone/Fax

Practice location:
  • Phone: 763-208-1797
  • Fax: 651-344-0590
Mailing address:
  • Phone: 763-208-1797
  • Fax: 651-344-0590

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateMN

VIII. Authorized Official

Name: MR. MBUTAMBE ARREY AKPANG
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 763-208-1797