Provider Demographics
NPI:1578189015
Name:VERSATILE HOMECARE LLC
Entity Type:Organization
Organization Name:VERSATILE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BHANU
Authorized Official - Middle Name:
Authorized Official - Last Name:ODARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:412-892-0056
Mailing Address - Street 1:203 BEALL DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2120
Mailing Address - Country:US
Mailing Address - Phone:412-892-0056
Mailing Address - Fax:
Practice Address - Street 1:203 BEALL DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15236-2120
Practice Address - Country:US
Practice Address - Phone:412-892-0056
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-21
Last Update Date:2020-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health