Bradford Home, Icf Ddn

LBN: Bradford Home Inc.
Bradford Home, Icf Ddn is an health care organization with primary practice located at 59 Bradford Dr , South San Francisco CA 94080-1129. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Bradford Home Inc. can be contacted via phone (415) 987-3401, or through Evangelista, Estelita via phone (415) 987-3401.

Contact Information

Primary practice address
59 Bradford Dr South San Francisco CA 94080-1129
Phone: (415) 987-3401
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evangelista, Estelita Registered Nurse (RN)
Phone: (415) 987-3401

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X California

Profile Details

NPI number 1609082478
LBN Legal business name Bradford Home Inc.
DBA Doing business as Bradford Home, Icf Ddn
Authorized official Evangelista, Estelita Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 16th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609082478 NPPES
California Other 55-G537 PROVIDER NUMBER

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