Bradley Selected Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BRADLEY SELECTED HEALTHCARE LLC

Practice address

1360 S 5TH St Ste 312a
Saint Charles, MO 63301-2449

Phone

(636) 493-9962

Fax

(636) 753-3610

NPI assigned

Jun 15, 2014

Organization subpart

No

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

Authorized official

Name

Melissa Bradley

Title

Director

Phone

(314) 368-6005

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1402790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402790400000",
    "number": "1083028344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S 5TH ST STE 312A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S 5TH ST STE 312A",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012449",
            "telephone_number": "636-493-9962",
            "fax_number": "636-753-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY SELECTED HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-15",
        "last_updated": "2014-06-15",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-368-6005"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Boyer
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• Robert Bradford, OTR/L
• Bradke Counseling, LLC
• Brian D Bradshaw, R.PH.
• Ryan Newey Bradt, PHARMD
• Darcie Brady
• McKenzie Kate Brakenhoff, PT, DPT
• Shawana S Branch, PNP

• In Home Supportive Care Agency in Saint Charles, MO
• Providers in Saint Charles, MO by specialty
• In Home Supportive Care Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2014; 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.