Organization · Type 2 NPI

Diversicare of Bradford Place, LLC

Skilled Nursing Facility · Hamilton, OH

NPI number 1508291329 Active

Practice location

1302 Millville Ave
Hamilton, OH 45013-3961

Fax (513) 867-1415

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	None listed

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

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NPI record

NPI: 1508291329
Entity type: Organization (Type 2)
Issued: Sep 11, 2013
Last updated: May 28, 2021
Status: Active
Subpart: Yes of Diversicare Leasing Company Ii, LLC

Other names

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Diversicare of Bradford Place · doing business as
Diversicare of Bradford Place · doing business as

Authorized official

James R. McKnight
President & CEO
(615) 771-7575

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1508291329

Diversicare of Bradford Place, LLC's National Provider Identifier is 1508291329, issued on Sep 11, 2013. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Hamilton, OH. The record was last updated on May 28, 2021.