MEDICARE: BRAVO HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1033621636
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRAVO HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	2720 AIRPORT DR STE 158
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-2219
Country	:	US
Telephone Number	:	614-934-5041
Fax Number	:	614-591-3702

Provider Business Practice Location Address
First Line	:	2720 AIRPORT DR STE 158
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-2219
Country	:	US
Telephone Number	:	614-934-5041
Fax Number	:	614-779-0574

Authorized Official
Title or Position	:	CEO
Name	:	ARJUN SUBEDI
Credential	:
Telephone Number	:	614-934-5041

Provider Enumeration Date	:	11/04/2017
Last Update Date	:	03/07/2024

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Directions to “BRAVO HEALTHCARE LLC ” Practice Location

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