PRIME VERITAS NPI 1801251202

NPI Information

  • NPI: 1801251202
  • Provider Name: PRIME VERITAS
  • Classification: Assisted Living Facility - 3104A0625X
  • Specialization: Assisted Living, Mental Illness
  • Entity Type: Organization
  • Address: 1889 TRINITY MILL DR
    DACULA, GA
    ZIP 30019
  • Phone: (770) 895-3787

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NPI Details

PRIME VERITAS is an assisted living and mental illness assisted living facility in Dacula, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. PRIME VERITAS NPI is 1801251202. The provider is registered as an organization entity type.

The provider's business location address is:

1889 TRINITY MILL DR
DACULA, GA
ZIP 30019-015
Phone: (770) 895-3787

The provider's authorized official is Olawunmi Yetunde Ogun-semore .
The authorized official title is Nurse Practitioner and has the following contact phone number (770) 895-3787.

The enumeration date for this NPI number is 12/30/2015 and was last updated on 12/30/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13104A0625XAssisted Living FacilityAssisted Living, Mental IllnessGEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========2MEDICARE UPINGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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