Veritas Senior Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10541 Issued in FL

Legal business name

VERITAS SENIOR LIVING, LLC

Practice address

4279 Judith Ave
Merritt Island, FL 32953-8166

Phone

(321) 454-7768

Fax

(321) 454-7714

NPI assigned

Feb 16, 2018

Organization subpart

Yes

Parent organization

VERIAS SENIOR LIVING, LLCAs reported in NPPES

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

Phone

(662) 510-5544

Specialties & licenses 1

Addresses

Other names 1

• Cedar Creek Other name

Tax ID family

Veritas Senior Living LLC2 organizations share this tax ID, including this one

Part of

Veritas Senior Living LLC

Other organizations with this tax ID 1

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

• Veritas Senior Living, LLC

  • Assisted Living Facility
  • Gulf Breeze, FL
  • NPI 1275033375
  NPD tax ID

Locations

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

{
    "created_epoch": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1609376664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 SWINNEA RD BLDG 1A",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719493",
            "telephone_number": "662-510-5544",
            "fax_number": "662-510-5471"
        },
        {
            "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 SENIOR LIVING, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERIAS SENIOR LIVING, LLC",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "LANDERS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-510-5544",
        "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": "5",
            "type": "Other Name"
        }
    ]
}

• Frank X. Venzara, M.D.
• Frank Xavier Venzara III, M.D.
• Nichole E Venzara
• Jordyn Veres
• Veritas Incare, LLC
• Prerna Vijayvargiya, MD
• Kristie Marie Villanueva, RN
• Marie-Claire D Villanueva, D.P.M.
• Robert A Ville, DC
• Risa L Vinarub, DPM

• Assisted Living Facility in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.