VERSAILLES HEALTHCARE LLC
NPI 1992666242
Nurse Practitioner - Primary Care in Versailles, IN

Active since November 18, 2025CLIA 15D2339142 · Waiver
202 GASLIGHT DR STE 1, VERSAILLES, IN 47042(812) 756-5940 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2026, Nov 18, 2025 (2 updates tracked since 2025).

About Versailles Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VERSAILLES HEALTHCARE LLC (NPI 1992666242) is a healthcare organization registered as a primary care in Versailles, Indiana and active in the NPI registry since November 2025. The organization holds a CLIA Waiver certificate valid through February 23, 2028 and lists Marie E Menchhofer, Owner, as its authorized official.

NPPES Registry Identity

NPI1992666242
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameVERSAILLES HEALTHCARE LLC
Location Address202 GASLIGHT DR STE 1Versailles, IN 47042-9471
Mailing Address202 Gaslight Dr Ste 1Versailles, IN 47042-9471 · (812) 609-2030 · Fax (949) 850-7921
Organization SubpartNo
Authorized OfficialMarie E MenchhoferOwner · (812) 663-1304
Enumeration DateNovember 18, 2025
Last NPPES UpdateMay 20, 20262 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
NPI 1992666242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
202 GASLIGHT DR STE 1, Versailles, IN 47042

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2339142

Versailles Healthcare, LLC · Versailles, IN
Active · expires Feb 23, 2028
CLIA Number15D2339142
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 24, 2026
Certificate Expiration DateFebruary 23, 2028
Laboratory DirectorMarie E. Menchhofer
Laboratory Phone(812) 609-2030
Laboratory LocationVersailles Healthcare, LLC202 Gaslight Drive, Suite 1, Versailles, IN 47042
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
202 GASLIGHT DR STE 1
VERSAILLES, IN 47042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Versailles Healthcare LLC's NPI number?

The NPI number for Versailles Healthcare LLC is 1992666242. It was assigned to this organization in the NPPES registry on November 18, 2025.

Where is Versailles Healthcare LLC located?

Versailles Healthcare LLC is located at 202 Gaslight Dr Ste 1, Versailles, IN 47042. The listed phone number is (812) 756-5940.

What is Versailles Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Versailles Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2339142) is associated with this NPI, valid through February 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Versailles Healthcare LLC was last updated on May 20, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.