Healthcare Provider Details

I. General information

NPI: 1164357166
Provider Name (Legal Business Name): VERSE LABS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2026
Last Update Date: 06/13/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3624 N 14TH ST
SAINT LOUIS MO
63107-3703
US

IV. Provider business mailing address

3624 N 14TH ST
SAINT LOUIS MO
63107-3703
US

V. Phone/Fax

Practice location:
  • Phone: 314-541-8131
  • Fax:
Mailing address:
  • Phone: 314-541-8131
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code172V00000X
TaxonomyCommunity Health Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DEREK ANDERSON
Title or Position: C.E.O.
Credential:
Phone: 314-541-8131