Villa at Bradley Estates, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VILLA AT BRADLEY ESTATES, LLC

Practice address

6735 W Bradley Rd
Milwaukee, WI 53223-3325

Phone

(414) 354-3300

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Benjamin Israel

Title

Manager

Phone

(847) 440-2660

Specialties & licenses 1

Addresses

Other names 1

• The Villa at Bradley Estates Doing business as

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674432000000",
    "number": "1831464320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3701 W LUNT AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122615",
            "telephone_number": "847-440-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 W BRADLEY RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532233325",
            "telephone_number": "414-354-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLA AT BRADLEY ESTATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A",
        "authorized_official_last_name": "ISRAEL",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-440-2660",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Villa at Bradley Estates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Villa at Bradley Estates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rajakrishnan Vijayakrishnan, MD
• Anita Vijayakumar, MD
• Aravind Vijayapal, MD
• Nicole Vike, LPC, ATR-BC
• Heather Vilbrandt
• Jennifer Villafuentes, BSN, RN
• Analy Villafuerte
• Olga Villafuerte
• Village 1848 LLC
• Edison Edgar Villalobos Anez, MD

• Skilled Nursing Facility in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Skilled Nursing Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.