NPIMap

Organization Active NPI

Veritas Incare, LLC

Doing business as Cedar Creek

  • Assisted Living Facility
  • Merritt Island, FL
National Provider Identifier
1255742474
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10541 Issued in FL
Legal business name
VERITAS INCARE, LLC
Doing business as
Cedar Creek
Practice address
4279 Judith Ave
Merritt Island, FL 32953-8166
Phone
(321) 454-7768
Fax
(321) 454-7714
NPI assigned
May 9, 2014
Last updated
May 9, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. James Christopher Landers
Title
President/Ceo
Phone
(662) 895-1801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10541 FL Primary

Addresses

Primary practice location

4279 Judith Ave
Merritt Island, FL 32953-8166

Mailing address

6933 Crumpler Blvd
Suite a
Olive Branch, MS 38654-1993
Phone (662) 895-1801

Other names 1

  • Cedar Creek Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cedar Creek7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1399593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399593600000",
    "number": "1255742474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6933 CRUMPLER BLVD",
            "address_2": "SUITE A",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386541993",
            "telephone_number": "662-895-1801",
            "fax_number": "662-895-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4279 JUDITH AVE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538166",
            "telephone_number": "321-454-7768",
            "fax_number": "321-454-7714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERITAS INCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A",
        "authorized_official_last_name": "LANDERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "662-895-1801",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL10541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.