Bradley Pleiman
Individual provider Active NPI Home Health Aide · Anna, OH
NPI 1962004895 · NPPES record last updated Nov 16, 2020
Key facts
- NPI
- 1962004895
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 14079 Wells Rd
Anna, OH 45302-9470 - Phone
- (937) 489-8705
- NPI assigned
- Nov 16, 2020
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | OH | Yes |
Addresses
Primary practice location
14079 Wells Rd
Anna, OH 45302-9470
Mailing address
PO Box 492
Anna, OH 45302-0492
Phone (937) 489-8705
Other providers in Anna, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.