Provider Demographics
NPI:1205896438
Name:VERITAS ENTERPRISES, INC
Entity type:Organization
Organization Name:VERITAS ENTERPRISES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MILES
Authorized Official - Middle Name:ROMUALDO
Authorized Official - Last Name:BUSTAMANTE
Authorized Official - Suffix:
Authorized Official - Credentials:BSN
Authorized Official - Phone:972-492-0294
Mailing Address - Street 1:3750 WAYNOKA DRIVE
Mailing Address - Street 2:
Mailing Address - City:CARROLTTOM
Mailing Address - State:TX
Mailing Address - Zip Code:75007-6220
Mailing Address - Country:US
Mailing Address - Phone:972-492-0294
Mailing Address - Fax:972-394-7091
Practice Address - Street 1:3750 WAYNOKA DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-6220
Practice Address - Country:US
Practice Address - Phone:972-492-0294
Practice Address - Fax:972-394-7091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX009993251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677812Medicare ID - Type UnspecifiedHOME HEALTH & HOSPICE
TX671525Medicare Oscar/Certification