Organization Active NPI

Versatile Resource LLC

  • Durable Medical Equipment & Medical Supplies
  • Carlsbad, CA
National Provider Identifier
1437463809
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1228243 Issued in CA
Legal business name
VERSATILE RESOURCE LLC
Practice address
5751 Palmer Way Ste G8
Carlsbad, CA 92010-7249
Phone
(760) 431-1010
NPI assigned
Jul 28, 2010
Last updated
Jul 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Annabelle L Barreto, LVN
Title
Owner
Phone
(760) 431-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1228243 CA Primary

Addresses

Primary practice location

5751 Palmer Way Ste G8
Carlsbad, CA 92010-7249

Mailing address

5751 Palmer Way Ste G8
Carlsbad, CA 92010-7249
Phone (760) 431-1010

National Provider Directory

National Provider Directory
Tax ID family
Versatile Resource LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5751 Palmer Way
Ste G8
Carlsbad, CA 92010
Phone (760) 431-1010

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1437463809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 PALMER WAY STE G8",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920107249",
            "telephone_number": "760-431-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5751 PALMER WAY STE G8",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920107249",
            "telephone_number": "760-431-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERSATILE RESOURCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "BARRETO",
        "authorized_official_first_name": "ANNABELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-431-1010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LVN"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "1228243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.