Provider Demographics
NPI:1033621636
Name:BRAVO HEALTHCARE LLC
Entity Type:Organization
Organization Name:BRAVO HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARJUN
Authorized Official - Middle Name:
Authorized Official - Last Name:SUBEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-934-5041
Mailing Address - Street 1:2720 AIRPORT DR STE 158
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43219-2219
Mailing Address - Country:US
Mailing Address - Phone:614-934-5041
Mailing Address - Fax:614-591-3702
Practice Address - Street 1:2720 AIRPORT DR STE 158
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43219-2219
Practice Address - Country:US
Practice Address - Phone:614-934-5041
Practice Address - Fax:614-779-0574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-04
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health