NPIMap

Organization Active NPI

Bradford Place Care Center

  • Skilled Nursing Facility
  • Hamilton, OH
National Provider Identifier
1821700923
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
BRADFORD PLACE CARE CENTER
Practice address
1302 Millville Ave
Hamilton, OH 45013-3961
Phone
(513) 867-4100
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Brenda Campbell
Title
Ar Billing Manager
Phone
(859) 255-0075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1302 Millville Ave
Hamilton, OH 45013-3961

Mailing address

1050 Chinoe Rd Ste 350
Lexington, KY 40502-6571
Phone (859) 255-0075

Other identifiers 1

IdentifierTypeStateIssuer
0011540MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230829003018 OH Part A Provider - Skilled Nursing Facility 0941663686 Practice locations: Hamilton, OH

Skilled nursing facility certification: CCN 365277

Legal name
BRADFORD PLACE CARE CENTER
Doing business as
EXCEPTIONAL LIVING CENTERS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 2, 1972
Last certification
Dec 29, 2022
Beds
79
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Exceptional Living Centers
Organization structure
LLCProprietary
Incorporated
Dec 9, 2022 in KY
Enrollment address
1302 Millville Ave
Hamilton, OH 45013-3961
Nursing home name
BRADFORD PLACE CARE CENTER
Affiliated entity
EXCEPTIONAL LIVING CENTERS

Care Compare: Nursing home

Medicare Care Compare
Listed as
Bradford Place Care CenterCCN 365277
Overall star rating
2 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 2, 1972
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
7962.7 residents per day on average
Chain
Exceptional Living Centers10 facilities in the chain
Penalties (3 years)
1Fines totaling $0

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Bradford Place Care Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Amy H Watts Individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 50%
Walter T Watts Individual 5% Or Greater Indirect Ownership InterestPresident Feb 1, 2023 50%
Corporate OfficerPresident and Ceo Mar 1, 2023 100%
Adp of the SNF Feb 1, 2023
Brenda Campbell Individual Operational/Managerial Control Feb 1, 2023
Adp of the SNF Feb 1, 2023
Chetna Mital Individual Operational/Managerial Control Feb 1, 2023
Managing Control - Governing BodyMedical Director Feb 1, 2023
Adp of the SNF Feb 1, 2023
Medical Rehabilitation Centers, LLC Organization, Lexington, KY LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2023 100%
Adp of the SNF Jan 23, 2025
Scarlett O'Hara Individual Operational/Managerial Control Feb 1, 2023
Managing Control - Governing BodyAdministrator Feb 1, 2023
Adp of the SNF Feb 1, 2023
Lexington Health Management LLC Organization, Lexington, KY LLC, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2023 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Chetna Mital
    • Internal Medicine Physician
    • Hamilton, OH
    • NPI 1285637694

    Adp of the SNF, Managing Control - Governing Body, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1821700923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 CHINOE RD STE 350",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405026571",
            "telephone_number": "859-255-0075",
            "fax_number": "859-281-5150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 MILLVILLE AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450133961",
            "telephone_number": "513-867-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADFORD PLACE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_title_or_position": "AR BILLING MANAGER",
        "authorized_official_telephone_number": "859-255-0075"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011540",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, OH

Sources for this page

Verify at the official NPI Registry.