Odessa Rene Bradley, HOMEHEALTH

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4179 Issued in AL

Practice address

601 US Highway 278 Byp E
Piedmont, AL 36272-1457

Phone

(256) 499-3765

NPI assigned

Dec 19, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Odessa Rene Bradley Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Guidance in Home Care LLC

  • In Home Supportive Care Agency
  • Piedmont, AL
  • NPI 1487389839

  Home Health

  NPD Authorized official
• Guidance in Home Care LLC

  • Home Health Agency
  • Piedmont, AL
  • NPI 1528772852

  Home Health

  NPD Authorized official
• The Helping Hands Non-Medical Home Healthcare LLC

  • Home Health Agency
  • Piedmont, AL
  • NPI 1750972808

  Home Health

  NPD Authorized official

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1093301400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 US HIGHWAY 278 BYP E",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362721457",
            "telephone_number": "256-499-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 US HIGHWAY 278 BYP E",
            "city": "PIEDMONT",
            "state": "AL",
            "postal_code": "362721457",
            "telephone_number": "256-499-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADLEY",
        "first_name": "ODESSA",
        "middle_name": "RENE",
        "credential": "HOMEHEALTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-19",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "20213979",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AL",
            "license": "20213537",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "4179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ODESSA",
            "last_name": "BRADLEY",
            "middle_name": "RENE",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• April Cobb, CRNP
• Elite Therapy Services
• Eye Care Alabama Inc
• Floyd Cherokee Medical Center LLC

• All providers in Piedmont, AL
• Home Health Agency in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; 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.