Bradley Bay Health Center
LBN: Bradley Road Nursing Home, Inc.
Bradley Bay Health Center is an health care organization with primary practice located at 605 Bradley Rd , Bay Village OH 44140-1670. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty.
Bradley Road Nursing Home, Inc. can be contacted via phone (440) 871-3474, or through O'Neill, John T. via phone (440) 871-3474.
Contact Information
Primary practice address
605 Bradley Rd
Bay Village OH 44140-1670
Phone: (440) 871-3474
Fax: (440) 871-4743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Assisted Living Facility | 310400000X | 5511 | Ohio |
| Nursing & Custodial Care Facilities / Skilled Nursing Facility | 314000000X | 4413 | Ohio |
Profile Details
| NPI number | 1720133226 |
|---|---|
| LBN Legal business name | Bradley Road Nursing Home, Inc. |
| DBA Doing business as | Bradley Bay Health Center |
| Authorized official | O'Neill, John T. LNHA |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Nov 14th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720133226 | NPPES |
| Ohio | Other | 4413 | OHIO DEPT. OF HEALTH |
| Ohio | MEDICAID | 2515148 | OHIO DEPT. OF HEALTH |
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