Healthcare Provider Details

I. General information

NPI: 1043143332
Provider Name (Legal Business Name): VERIDIA HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 S STRATFORD RD
WINSTON SALEM NC
27103
US

IV. Provider business mailing address

70 E SUNRISE HWY STE 606
VALLEY STREAM NY
11581-1233
US

V. Phone/Fax

Practice location:
  • Phone: 336-390-4300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: YOSEF EMANUEL
Title or Position: CEO
Credential:
Phone: 336-390-4300