Bradford Heights Health & Rehab Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100070 Issued in KY

Legal business name

BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC.

Practice address

950 Highpoint Dr
Hopkinsville, KY 42240-2570

Phone

(270) 885-1151

Fax

(270) 885-7461

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Rodman

Title

Asst. Secretary

Phone

(407) 975-3011

Specialties & licenses 2

Addresses

Other identifiers 2

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1093720880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 N KELLER RD",
            "address_2": "SUITE 250",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327517503",
            "telephone_number": "407-975-3000",
            "fax_number": "407-975-3090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 HIGHPOINT DR",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402570",
            "telephone_number": "270-885-1151",
            "fax_number": "270-885-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD HEIGHTS HEALTH & REHAB CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "RODMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "ASST. SECRETARY",
        "authorized_official_telephone_number": "407-975-3011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100070",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KY",
            "license": "90003997",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100025460",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90003997",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Michael Bottoms, D.M.D.
• Ashley Boucher
• Brittany Boyd
• Deidra Boyken, LPCC
• Ashley Felts Boze, LCSW
• Bradford Heights Opco LLC (Bradford Heights Health & Rehab Center)
• Skyler Bradford
• Angela Bradt, PHARMD
• Jayde Breana Brady, LPA-T
• Mary Lynn Brame

• Skilled Nursing Facility in Hopkinsville, KY
• Providers in Hopkinsville, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.