Provider Demographics
NPI:1972706406
Name:VERITACARE LTD
Entity type:Organization
Organization Name:VERITACARE LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ARMINE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:213-422-6021
Mailing Address - Street 1:35104 EUCLID AVE STE 204
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-4564
Mailing Address - Country:US
Mailing Address - Phone:440-946-3661
Mailing Address - Fax:440-946-3671
Practice Address - Street 1:35104 EUCLID AVE STE 204
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-4564
Practice Address - Country:US
Practice Address - Phone:440-946-3661
Practice Address - Fax:440-946-3671
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-11
Last Update Date:2012-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health