Provider Demographics
NPI:1083055479
Name:VERSATILE HEALTH CARE SERVICES, LLC
Entity Type:Organization
Organization Name:VERSATILE HEALTH CARE SERVICES, LLC
Other - Org Name:ABSOLUTE PROFESSIONAL NURSING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/REGISTERED AGENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLANUEVA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:956-545-5520
Mailing Address - Street 1:552 WINNIPEG AVE
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-9690
Mailing Address - Country:US
Mailing Address - Phone:956-545-5520
Mailing Address - Fax:
Practice Address - Street 1:552 WINNIPEG AVE
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-9690
Practice Address - Country:US
Practice Address - Phone:956-545-5520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2013-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health