Bradford Healthcare

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

BRADFORD HEALTHCARE

Practice address

1916 Orange Tree LN Ste 450a
Redlands, CA 92374-4520

Phone

(213) 316-8007

NPI assigned

Jul 28, 2020

Organization subpart

No

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

Authorized official

Name

Joanne Furuhata

Title

President

Phone

(909) 457-7492

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Hospice certification: CCN B31502

Legal name

BRADFORD HEALTHCARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Nov 29, 2021

Last certification

Sep 23, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Jul 26, 2020 in CA

Enrollment address

1916 Orange Tree LN
Ste 450a
Redlands, CA 92374-4520

Listed as

Bradford HealthcareCCN B31502

Certified

Nov 29, 2021

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jacqueline Ching Olgado, NP

  • Acute Care Nurse Practitioner
  • Los Angeles, CA
  • NPI 1306548052

  W-2 Managing Employee

  CMS ownership
• Sanjeev Puri, D.O

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1730420399

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Sanjeev Puri, D.O

  • Family Medicine Physician
  • Whittier, CA
  • NPI 1730420399

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1595894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708905600000",
    "number": "1104435817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 ORANGE TREE LN STE 450A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 ORANGE TREE LN STE 450A",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744520",
            "telephone_number": "213-316-8007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-28",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A",
        "authorized_official_last_name": "FURUHATA",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-457-7492"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert CM Bourne, M.D.
• Jana K Boyd, JANA BOYD, PHD
• Vicky Reyes Boykins, LMFT
• Anneliese Mary Elizabeth Boyle
• Boys & Girls Clubs of Greater Redlands-Riverside
• Donald Damon Bradley, MSW
• Rebecca Lee Bradshaw, CMT
• Shyam Brahmbhatt, D.M.D.
• Brand New Pharmacy Inc
• Brand New Pharmacy Inc

• Community Based Hospice Care Agency in Redlands, CA
• Providers in Redlands, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.