KAILEY BRADLEY (NPI# 1962864348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962864348 |
| Entity Type | Individual |
| Full Name | KAILEY BRADLEY |
| Practice Address |
80 Samaritan Ave Apt 1 Ashland OH 44805-3924 |
| Practice Telephone | 4195895511 |
| Mailing Telephone | 4195895511 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | C1400418 | OH | Residential Treatment Facilities |
| Street Address |
80 SAMARITAN AVE APT 1 |
| City | ASHLAND |
| State | OH |
| Zip Code | 44805-3924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568060549 | The Inn H Ashland Woods Management Company LLC | Assisted Living Facility | 1050 Dauch Dr., Ashland, OH 44805 | 2020-10-13 |
| 1417421488 | Professional Dental Alliance of Ashland, LLC | Dentist | 1860 East Main St., Ashland, OH 44805 | 2019-01-14 |
| 1881164473 | Destiny Dawn Williams | Student in an Organized Health Care Education/Training Program | 1115 Union Street, Ashland, OH 44805 | 2018-11-27 |
| 1992273106 | Marc Schaffer | Occupational Therapist | Kingston of Ashland, 20 Amberwood Parkway, Ashland, OH 44805 | 2018-11-06 |
| 1548777832 | Amy Denise Adkins | Nurse Practitioner | 2021 S Baney Rd, Ashland, OH 44805 | 2018-01-08 |
| 1588171847 | Belinda Foster | Pharmacist | 419 Claremont Ave, Ashland, OH 44805 | 2018-01-08 |
| 1851816649 | Heather Donnenwirth | Social Worker | 1763 St. Rt 60, Suite 120, Ashland, OH 44805 | 2017-08-14 |
| 1619498722 | Stephanie Darm | Speech-Language Pathologist | 1407 Claremont Ave, Ashland, OH 44805 | 2017-06-28 |
| 1790219624 | Tracey Renee Thomas | Nurse Practitioner | 651 Us Route 250 E, Ashland, OH 44805 | 2017-04-18 |
| 1689120248 | Pamela Yvonne Lemaster | Counselor | 2233 Rocky Lane, Ashland, OH 44805 | 2016-09-01 |
| Find all providers in zip 44805 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285728220 | Dimension Youth Services Inc. | Community Based Residential Treatment Facility, Mental Illness | 100 Arbor Oak Dr Ste 202, Ashland, VA 23005-2261 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720613474 | Kimberly Sangare | Community Based Residential Treatment Facility, Mental Illness | 2302 Norwood Ave Apt 3, Cincinnati, OH 45212-2738 | 2020-03-03 |
| 1427618404 | Ian Edwards | Community Based Residential Treatment Facility, Mental Illness | 1345 Shela Blvd Apt 7, Portsmouth, OH 45662-8981 | 2019-06-20 |
| 1548827751 | Pyramid House LLC | Community Based Residential Treatment Facility, Mental Illness | 6041 Mcnaughten Grove Ln, Columbus, OH 43213-5106 | 2019-05-22 |
| 1003359936 | My Sisters House for Girls, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4540 Woolcut Ln, Toledo, OH 43615-7667 | 2016-11-26 |
| 1083067896 | Jaz Boyce | Community Based Residential Treatment Facility, Mental Illness | 592 Wiltshire Rd, Columbus, OH 43204-2429 | 2016-07-16 |
| 1679927974 | Parents Addressing Teen Challenges | Community Based Residential Treatment Facility, Mental Illness | 65 N Powell Ave, Columbus, OH 43204-2618 | 2016-04-22 |
| 1134540503 | The Village Network Inc. | Community Based Residential Treatment Facility, Mental Illness | 5500 Market St Ste 106, Boardman, OH 44512-2616 | 2014-01-02 |
| 1184943417 | Tender Mercies, Inc. | Community Based Residential Treatment Facility, Mental Illness | 27 W 12th St, Cincinnati, OH 45202-7205 | 2010-05-26 |
| 1528200227 | Brockton Healthcare Network | Community Based Residential Treatment Facility, Mental Illness | 5701 Spruce Tree Dr, Columbus, OH 43232-7751 | 2009-03-27 |
| 1891945549 | Tarry House, Inc. | Community Based Residential Treatment Facility, Mental Illness | 564 Diagonal Rd, Akron, OH 44320-3010 | 2008-09-30 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KAILEY BRADLEY.
| 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.