Active NPI
Kashonda Bradford
- Adult Care Home Facility
- Katy, TX
National Provider Identifier
1255633152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- Legal business name
- KASHONDA BRADFORD
- Practice address
- 19263 Sandelford Dr
Katy, TX 77449-4150 - Phone
- (832) 581-8556
- NPI assigned
- Nov 28, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kashonda Juanita Bradford
- Title
- LVN
- Phone
- (832) 581-8556
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Primary |
Addresses
Primary practice location
19263 Sandelford Dr
Katy, TX 77449-4150
Mailing address
PO Box 2362
Clarksville, IN 47131-2362
Phone (832) 581-8556
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1374192000000",
"number": "1255633152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2362",
"city": "CLARKSVILLE",
"state": "IN",
"postal_code": "471312362",
"telephone_number": "832-581-8556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19263 SANDELFORD DR",
"city": "KATY",
"state": "TX",
"postal_code": "774494150",
"telephone_number": "832-581-8556"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KASHONDA BRADFORD",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-28",
"last_updated": "2013-07-19",
"status": "A",
"authorized_official_last_name": "BRADFORD",
"authorized_official_first_name": "KASHONDA",
"authorized_official_middle_name": "JUANITA",
"authorized_official_title_or_position": "LVN",
"authorized_official_telephone_number": "832-581-8556",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.