TIMOTHY BRADBERRRY (NPI# 1063067296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063067296 |
Entity Type | Individual |
Full Name | TIMOTHY BRADBERRRY |
Practice Address |
138 Lakewood Dr Laurens SC 29360-7500 |
Practice Telephone | 8646827010 |
Mailing Telephone | 8646827010 |
Enumeration Date | 2019-08-05 |
Last Update Date | 2019-08-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
Street Address |
138 LAKEWOOD DR |
City | LAURENS |
State | SC |
Zip Code | 29360-7500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629564323 | Dj Healthcare Group | Counselor | 639 Sullivan Street, Laurens, SC 29360 | 2018-07-05 |
1770082158 | Carrie Abigail Culbertson | Counselor | 112 Henderson Lane, Laurens, SC 29360 | 2018-02-12 |
1508305186 | Amy Ledford Strickland | Nurse Practitioner | 22580 Highway 76 E Ste 300, Laurens, SC 29360 | 2017-02-16 |
1346785730 | Virginia Smith | Registered Nurse | 1035 West Main Street, Laurens, SC 29360 | 2016-12-21 |
1245774066 | Donna Gragg | Licensed Practical Nurse | 601 Lucas Ave, Laurens, SC 29360 | 2016-12-13 |
1174891840 | Lori Hilley West | Pharmacist | 1518 W. Main St., Laurens, SC 29360 | 2011-12-08 |
1841575701 | Lauren Allen Turner | Speech-Language Pathologist | 307 Pinehaven Street, Laurens, SC 29360 | 2011-10-11 |
1710217856 | Rachael Carroll | Occupational Therapy Assistant | 379 Pinehaven St Ext, Laurens, SC 29360 | 2010-01-13 |
1437384245 | Amy J Floyd | Occupational Therapy Assistant | 379 Pinehaven St. Ext, Laurens, SC 29360 | 2009-05-22 |
1275768228 | Laurens Electric Cooperative | Emergency Response System Companies | 2254 Hwy 14, Laurens, SC 29360 | 2009-05-20 |
Find all providers in zip 29360 |
Taxonomy Code | 3747P1801X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Personal Care Attendant |
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
Notes: [7/1/2003: definition added] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245846138 | Personalized Home Care Services | Technician | 1200 Woodruff Rd A3 Ste 150, Greenville, SC 29607 | 2020-09-16 |
1619588860 | Christopher Graham | Technician | 211 Pebble Ln Apt C, Aiken, SC 29801-1201 | 2020-08-12 |
1760092548 | Stephanie M Torrado | Technician | 344 Lawndale Dr, Gaston, SC 29053-8114 | 2020-08-05 |
1235752932 | From The Heart Home Care, LLC | Technician | 501 W Butler Rd Ste G, Greenville, SC 29607-4846 | 2020-05-28 |
1922630920 | Bertha Johnson | Technician | 405 N Bouknight Ferry Rd, Saluda, SC 29138-1509 | 2020-02-07 |
1568008738 | Viviana Urrea | Technician | 2121 Ebenezer Rd Ste 103, Rock Hill, SC 29732-1077 | 2019-11-22 |
1285289165 | Comfort Hands Home Care LLC | Technician | 2448 Olivet Cemetary Rd, Mullins, SC 29574-5691 | 2019-08-07 |
1073165841 | Andrea Lasheba Patterson | Technician | 102 Harmon St Ste A, Lexington, SC 29072-3526 | 2019-07-11 |
1558923862 | Tiwana Morris | Technician | 2448 Olivet Cemetery Rd, Mullins, SC 29574-5691 | 2019-07-08 |
1710445499 | Tomeka Grate | Technician | 300 Berkshire Dr Ste A, Columbia, SC 29223-1859 | 2019-03-12 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.