Provider Demographics
NPI:1679372817
Name:VERSATILE SUPPORT SERVICES
Entity type:Organization
Organization Name:VERSATILE SUPPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:QUALITY ASSURANCE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:EVE
Authorized Official - Middle Name:
Authorized Official - Last Name:KRONBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-562-6492
Mailing Address - Street 1:2316 9TH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-5704
Mailing Address - Country:US
Mailing Address - Phone:402-562-6492
Mailing Address - Fax:402-562-8774
Practice Address - Street 1:2316 9TH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-5704
Practice Address - Country:US
Practice Address - Phone:402-562-6492
Practice Address - Fax:402-562-8774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-11
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
No373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist