Bradford House, Llc

LBN: Bradford House, Llc
Bradford House, Llc is an health care organization with primary practice located at 1202 Se 30Th St , Bentonville AR 72712-3779. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Bradford House, Llc can be contacted via phone (479) 273-3430, or through Montgomery, John via phone (479) 273-3430.

Contact Information

Primary practice address
1202 Se 30Th St Bentonville AR 72712-3779
Phone: (479) 273-3430
Fax: (479) 273-3860
Website:
Map and Directions
Authorized official contact:
Name: Montgomery, John
Phone: (479) 273-3430

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 787 Arkansas

Profile Details

NPI number 1861568206
LBN Legal business name Bradford House, Llc
DBA Doing business as
Authorized official Montgomery, John
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 13th, 2007 - about 18 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 1861568206 NPPES
Arkansas Other 015373 MEDIPAK PROVIDER NUMBER

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