BRADLEY HOME HEALTH CARE LLC (NPI# 1871740449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871740449 |
| Entity Type | Organization |
| Organization Name | BRADLEY HOME HEALTH CARE LLC |
| Other Organization Name | NONE |
| Practice Address |
4007 W Concordia Ave 4007 West Concordia Ave. Milwaukee WI 53216-3623 |
| Mailing Address |
4007 West Concordia Ave 4007 West Concordia Ave Milwaukee WI 53216-3623 |
| Practice Telephone | 4148730797 |
| Practice Fax Number | 4148730797 |
| Mailing Telephone | 4148730797 |
| Mailing Fax Number | 4148730797 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |
| Authorized Official Name | MRS. CHARLENE SMITH (OWNER) |
| Authorized Official Telephone | 4148730797 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WH0200X |
Registered Nurse Specialization: Home Health |
Nursing Service Providers | ||
| N | 251J00000X | Nursing Care | 251E00000X | WI | Agencies |
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| none | Doing Business As Name - Organization |
| Street Address |
4007 W CONCORDIA AVE 4007 WEST CONCORDIA AVE. |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53216-3623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376721902 | Todd Christopher Pierce | Lodging | 4007 W Concordia Ave, Milwaukee, WI 53216 | 2008-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750906137 | Lilshana Woods | Technician | 3946 N 52nd St, Milwaukee, WI 53216 | 2020-06-11 |
| 1063981710 | Jon Maurice Smoots | Prevention Professional | 7710 W. Casper Street, Milwaukee, WI 53216 | 2018-11-23 |
| 1467948844 | Alexcis Coleman | Counselor | 6815 W Capitol Dr Ste 217, Milwaukee, WI 53216 | 2018-07-09 |
| 1457841066 | Rebeka Fried | Occupational Therapist | 3134 N 53rd St, Milwaukee, WI 53216 | 2018-05-18 |
| 1952831497 | Nina Marie Evans | Home Health Aide | 6815 W. Capitol Drive Suite 117, Milwaukee, WI 53216 | 2017-06-18 |
| 1578009080 | Annette L Veasey | Counselor | 4222 W Capitol Dr Ste 308, Milwaukee, WI 53216 | 2017-01-09 |
| 1295277143 | Gentle Hands Home Healthcare | Home Health | 6815 N. 68th Street, Milwaukee, WI 53216 | 2016-11-09 |
| 1639622780 | Luisa Julia Morales | Counselor | 5228 Fond Du Lac Ave, Milwaukee, WI 53216 | 2016-07-25 |
| 1568811776 | Eye-care Home Health Care | In Home Supportive Care | 6221 W Keefe Pkwy, Milwaukee, WI 53216 | 2016-06-08 |
| 1013382167 | Helens Supportive Services | Home Health | 6222 W Capitol Drive Sutie 200c, Milwaukee, WI 53216 | 2015-12-01 |
| Find all providers in zip 53216 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467068767 | Lashonda Nicole Simmons | Home Health | 24th Street, 1812 North, Milwaukee, WI 53205-1410 | 2020-09-22 |
| 1124634332 | Nehemiah House, LLC | Home Health | 3901 N 21st Street, Milwaukee, WI 53206 | 2020-09-22 |
| 1699389593 | Infinity Care Services LLC | Home Health | 9203 W Bluemound Rd Ste A, Milwaukee, WI 53226-4484 | 2020-09-08 |
| 1790396521 | Faithful Living Home Health Care Agency LLC | Home Health | 3846 W Wisconsin Ave Apt 110, Milwaukee, WI 53208-3175 | 2020-08-14 |
| 1770194847 | Faithful Hands PCa LLC | Home Health | 8008 W Capitol Dr, Milwaukee, WI 53222-1918 | 2020-08-12 |
| 1104436401 | Above and Beyond Home Health Care | Home Health | 4608 N 72nd St, Milwaukee, WI 53218-4856 | 2020-08-03 |
| 1780293001 | Cerys Healthcare LLC | Home Health | 3728 N Fratney St Ste 214, Milwaukee, WI 53212-1708 | 2020-07-23 |
| 1881217610 | Tender Care Home Away From Home LLC | Home Health | 8925 W Stark St, Milwaukee, WI 53225-4114 | 2020-05-27 |
| 1184247827 | Kathy Ann Maclin | Home Health | 5321 N Sherman Blvd, Milwaukee, WI 53209-4646 | 2020-05-27 |
| 1235751173 | Alliance Community Services LLC | Home Health | 7255 W Appleton Ave, Milwaukee, WI 53216-1982 | 2020-05-14 |
| Find all providers in MILWAUKEE | ||||
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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.