Organization · Type 2 NPI

Bradford SCC LLC

Skilled Nursing Facility · Shreveport, LA

NPI number 1891176715 Active

Practice location

3050 Baird Rd
Shreveport, LA 71118-3818

Call (318) 688-1010 Map

Fax (318) 688-1099

Mailing address

600 N Pearl St Ste 1050
Dallas, TX 75201-7495

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…

4 other providers at this address

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NPI record

NPI: 1891176715
Entity type: Organization (Type 2)
Issued: Jun 16, 2015
Last updated: Mar 4, 2020
Status: Active

Other names

<unavail>
The Bradford Rehabilitation Center · doing business as
The Bradford Rehabilitation Center · doing business as

Authorized official

Michael Beal
Chief Executive Officer
(214) 252-7600

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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 1891176715

Bradford SCC LLC's National Provider Identifier is 1891176715, issued on Jun 16, 2015. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Shreveport, LA. The record was last updated on Mar 4, 2020.