VERITAS HEALTHCARE PLLC
NPI 1609569292
Nurse Practitioner in Lake Havasu City, AZ
NPI Status: Active since May 30, 2023
Contact Information
30 ACOMA BLVD S STE 204
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (213) 270-4406
- Organization
- Nurse Practitioner
- CLIA Number: 03D2338953
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-19-2028
About VERITAS HEALTHCARE PLLC
This page provides the complete NPI Profile along with additional information for Veritas Healthcare Pllc, a provider established in Lake Havasu City, Arizona operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1609569292 assigned on May 2023. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Kemella Sillah (Manager)
- NPI
- 1609569292
- Provider Name
- VERITAS HEALTHCARE PLLC
- Entity Type
- Organization
- Location Address
- 30 ACOMA BLVD S STE 204 LAKE HAVASU CITY, AZ 86403
- Location Phone
- (213) 270-4406
- Mailing Address
- 30 ACOMA BLVD S STE 204 LAKE HAVASU CITY, AZ 86403
- Mailing Phone
- (928) 315-1694
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-30-2023
- Last Update Date
- 01-16-2026
- Code Navigator
A nurse practitioner (NP) like Veritas Healthcare Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251E00000X | Agencies | Home Health | |
| 2 | 251F00000X | Agencies | Home Infusion | |
| 3 | 251G00000X | Agencies | Hospice Care, Community Based | |
| 4 | 251J00000X | Agencies | Nursing Care | |
| 5 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| 6 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | |
| 7 | 343900000X | Transportation Services | Non-emergency Medical Transport (VAN) | |
| 8 | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | |
| 9 | 385H00000X | Respite Care Facility | Respite Care |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 03D2338953
- Facility Type
- Physician Office
- Certificate Effective Date
- February 20, 2026
- Certificate Expiration Date
- February 19, 2028
- Laboratory Director
- KEMELLA A. SILLAH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Veritas Healthcare Pllc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1609569292, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609569292, enumerated as an "organization" on May 30, 2023.
The provider is located at 30 ACOMA BLVD S STE 204 LAKE HAVASU CITY, AZ 86403 and the phone number is (213) 270-4406.
Nurse Practitioner with taxonomy code 363L00000X.
