Bradley Homecare for Veterans, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BRADLEY HOMECARE FOR VETERANS, LLC

Doing business as

Bradley Homecare For Veterans

Practice address

230 S Bemiston Ave Ste 890
Clayton, MO 63105-1921

Phone

(314) 833-3050

Fax

(314) 833-3058

NPI assigned

Mar 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mairio R Bradley

Title

Owner

Phone

(314) 791-0109

Specialties & licenses 1

Addresses

Other names 1

• Bradley Homecare For Veterans Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1073363685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BROOK HOLLOW CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664168",
            "telephone_number": "314-791-0109",
            "fax_number": "314-833-3058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S BEMISTON AVE STE 890",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631051921",
            "telephone_number": "314-833-3050",
            "fax_number": "314-833-3058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY HOMECARE FOR VETERANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MAIRIO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-791-0109"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradley Homecare For Veterans",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Clayton, MO
• Providers in Clayton, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.