Bradford House, Llc in Bentonville - Skilled Nursing Facility
Bradford House, Llc - NPI 1861568206
Bradford House, Llc is a Skilled Nursing Facility in Bentonville, Arkansas. Bradford House, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Bradford House, Llc is 1861568206. The last update date is 2007-08-13.
Bradford House, Llc's current location address is 1202 Se 30th St, Bentonville, Arkansas. You can contact this provider via phone number 4792733430 and fax number 4792733860. The mailing address for Bradford House, Llc is 1202 Se 30th St, Bentonville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bradford House, Llc |
|---|---|
| Address | 1202 Se 30th St, Bentonville, Arkansas |
| Phone Number | 4792733430 |
| Fax Number | 4792733860 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Montgomery John |
| Telephone Number | 4792733430 |
NPI Number Detail
| NPI Number | 1861568206 |
|---|---|
| Provider Enumeration Date | 2006-11-28 |
| Last Updated Date | 2007-08-13 |
Provider Mailing Address Detail
| Address | 1202 Se 30th St |
|---|---|
| City | Bentonville |
| State | Arkansas (AR) |
| Post Code | 727123779 |
| Phone Number | 4792733430 |
| Fax Number | 4792733860 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 787 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15373 | AR | MEDIPAK PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Bradford House, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Bradford House, Llc has been assigned the NPI (National Provider Identifier) 1861568206. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where Bradford House, Llc's facilities are geographically located?
The facilities of Bradford House, Llc are physically situated at the following location: 1202 Se 30Th St, Bentonville, AR, 727123779.
What is Bradford House, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Bradford House, Llc is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date did the Bradford House, Llc receive the assignment of its 1861568206 from the Centers for Medicare & Medicaid Services?
The Bradford House, Llc was issued its 1861568206 by the Centers for Medicare & Medicaid Services on 2006-11-28.
As of what date was the information pertaining to Bradford House, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bradford House, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-13.