Bradyview Manor LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

409150 Issued in PA

Legal business name

BRADYVIEW MANOR LLC

Doing business as

Bradyview Manor

Practice address

405 Robinson Street
East Brady, PA 16028

Phone

(724) 526-3006

Fax

(724) 526-3775

NPI assigned

Apr 19, 2006

Last updated

Aug 22, 2020By 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

Mr. Brian P Rendos

Title

Billing Supervisor

Phone

(814) 265-1164

Specialties & licenses 1

Addresses

Other names 1

• Bradyview Manor Doing business as

Locations

Practitioners 2

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.

• Wendy Susan Bingler, OTR/L

  • Occupational Therapist
  • Brockway, PA
  • NPI 1215903661
  NPD (past)
• Jodi Pierson Neal, M.S., CCC-SLP

  • Speech-Language Pathologist
  • Brockway, PA
  • NPI 1891091740
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790740959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240",
            "city": "BROCKWAY",
            "state": "PA",
            "postal_code": "15824",
            "telephone_number": "814-265-1164",
            "fax_number": "814-265-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 ROBINSON STREET",
            "city": "EAST BRADY",
            "state": "PA",
            "postal_code": "16028",
            "telephone_number": "724-526-3006",
            "fax_number": "724-526-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADYVIEW MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RENDOS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "814-265-1164",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "409150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradyview Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• East Brady Area Ambulance Service Inc
• East Brady Area Ambulance Service Inc
• East Brady Area Ambulance Service Inc
• Michael C Neiswonger, CRNP
• Northern Armstrong Emergency Medical Services

• Assisted Living Facility in East Brady, PA
• Providers in East Brady, PA by specialty
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.