Active NPI
Cheyanne Siecrra Bradley
- Home Health Agency
- Saint Clair Shores, MI
National Provider Identifier
1225825540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 19536 Shady Lane Ave
Saint Clair Shores, MI 48080-1630 - Phone
- (313) 808-3338
- NPI assigned
- Apr 21, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | |||
| Adult Care Home Facility | 311ZA0620X | |||
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
19536 Shady Lane Ave
Saint Clair Shores, MI 48080-1630
Mailing address
19536 Shady Lane Ave
Saint Clair Shores, MI 48080-1630
Phone (313) 808-3338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1745193600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1225825540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19536 SHADY LANE AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801630",
"telephone_number": "313-808-3338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19536 SHADY LANE AVE",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480801630",
"telephone_number": "313-808-3338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADLEY",
"first_name": "CHEYANNE",
"middle_name": "SIECRRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-21",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Clair Shores, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.