Bradley Road Holdings LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

BRADLEY ROAD HOLDINGS LLC

Doing business as

Sun City Gardens

Practice address

28500 Bradley Rd
Sun City, CA 92586-3029

Phone

(951) 679-2391

NPI assigned

Apr 5, 2024

Last updated

Apr 5, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Deepak Israni

Title

General Manager

Phone

(619) 296-9000

Specialties & licenses 2

Addresses

Other names 1

• Sun City Gardens Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Scott Michael De Wenter, DPM

  • Podiatrist
  • Lake Elsinore, CA
  • NPI 1376569194
  NPD (past)

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1639921166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28500 BRADLEY RD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925863029",
            "telephone_number": "951-679-2391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28500 BRADLEY RD",
            "city": "SUN CITY",
            "state": "CA",
            "postal_code": "925863029",
            "telephone_number": "951-679-2391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY ROAD HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "ISRANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "619-296-9000"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sun City Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• At Will Speech Therapy and Educational Services Inc.
• Yajaria Avila, RBT
• Jasmine Beverly, BEHAVIOR ANALYST
• Arely Aide Birch
• Clyde Francis Boiston, PT, OCS
• Joyce Y Brennan, PT
• Brian L Nguyen MD, Inc
• Carol Linn Brown, PT
• Michael R Bryant, DDS
• Gloria Burroughs, M.D.

• Assisted Living Facility in Sun City, CA
• Providers in Sun City, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.