Diversicare Of Bradford Place, Llc

LBN: Diversicare Of Bradford Place, Llc
Diversicare Of Bradford Place, Llc is an health care organization with primary practice located at 1302 Millville Ave , Hamilton OH 45013-3961. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Diversicare Of Bradford Place, Llc can be contacted via phone (513) 867-4100, or through Mcknight, James R. via phone (615) 771-7575.

Contact Information

Primary practice address
1302 Millville Ave Hamilton OH 45013-3961
Phone: (513) 867-4100
Fax: (513) 867-1415
Website:
Map and Directions
Authorized official contact:
Name: Mcknight, James R.
Phone: (615) 771-7575

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1902472236
LBN Legal business name Diversicare Of Bradford Place, Llc
DBA Doing business as
Authorized official Mcknight, James R.
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2021
Last updated May 27th, 2021 - about 3 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 1902472236 NPPES
Ohio MEDICAID 0096324

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