Organization Name: | BRADLEY ROAD NURSING HOME, INC. |
NPI Number: | 1720133226 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN T. O'NEILL (PRESIDENT) |
Mailing Address: | 605 Bradley Rd Bay Village |
State: | OH US |
Postal Code: | 441401670 |
Phone Number: | 4408713474 |
Fax Number: | 4408714743 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 11/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 5511 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OH |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |