Rhena N Bradley
Individual provider Active NPI Home Health Aide · Riverdale, IL
NPI 1174160402 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1174160402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 502 W 138TH St
Riverdale, IL 60827-1611 - Phone
- (708) 880-1397
- Fax
- (708) 880-1215
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imani Community Clinic | Current |
Accepting new patients | |
| Sunrise Consultant Services, Inc | Current |
Accepting new patients |
Locations
502 W 138th St
Riverdale, IL 60827
Phone (312) 763-6162
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | IL | Yes |
Addresses
Primary practice location
502 W 138TH St
Riverdale, IL 60827-1611
Mailing address
502 W 138TH St
Riverdale, IL 60827
Phone (708) 880-1397
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Riverdale | ||
| Other URL | Riverdale | ||
| CONNECT URL | Riverdale | Health Information Exchange (HIE) | |
| Other URL | Riverdale |
Other providers in Riverdale, IL
- Because We Care Too Inc
- Ravneet S Bhullar
- Lawanda E Bingham-Woods
- Khaled Bassam Bishawi
- Brenda L Bowden
- Bruce Michael Cable
- Forinna T Chen
- Chosen to Serve Counseling Services, PLLC
- Cook County School District 133
- Christine Dines
All providers in Riverdale, IL · Home Health Aide in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.