BRADWELL DIVERSIFIED INC.


Address: 25673 Beckham Rd, Harlingen, TX 78552-6356
Phone: 9567924542

BRADWELL DIVERSIFIED INC. (NPI# 1770721425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1770721425
Entity Type Organization
Organization Name BRADWELL DIVERSIFIED INC.
Other Organization Name K.A.T.S. KIDS ADVANCED THERAPY SERVICES
Practice Address 25673 Beckham Rd
Harlingen
TX 78552-6356
Practice Telephone 9567924542
Mailing Telephone 9567924542
Enumeration Date 2009-02-02
Last Update Date 2017-08-16
Authorized Official Name MRS. GRACIELA A. BRADWELL (OWNER/ADMINISTRATOR)
Authorized Official Telephone 9567924542
Authorized Official Credential SLP ASSISTANT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251E00000X Home Health 013856 TX Agencies

Other Provider Identifier

State Issuer Identifier Type Code
TX 218312102 05
TX 218312101 05

Other Provider/Organization Names

Other Name Type Code
K.A.T.S. Kids Advanced Therapy Services Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1255842316 Bradwell Diversified Inc. Home Health 25673 Beckham Rd, Harlingen, TX 78552-6356 2017-10-17

Office Location

Street Address 25673 BECKHAM RD
City HARLINGEN
State TX
Zip Code 78552-6356

Providers in the same location

NPI Name Taxonomy Address Enumeration
1396309746 The Few The Proud Our Children Inc Home Health 25673 Beckham Rd, Harlingen, TX 78552-6356 2019-04-30
1437657897 Amanda Josefina Muniz Occupational Therapy Assistant 25673 Beckham Rd, Harlingen, TX 78552-6356 2018-01-31
1689172090 Anita Jessica Rodriguez Specialist/Technologist 25673 Beckham Rd, Harlingen, TX 78552-6356 2018-01-31
1629576087 Lisa Diane Pelache Specialist/Technologist 25673 Beckham Rd, Harlingen, TX 78552-6356 2018-01-31
1255842316 Bradwell Diversified Inc. Home Health 25673 Beckham Rd, Harlingen, TX 78552-6356 2017-10-17
1487075834 Sessia Wyche Iv Specialist/Technologist 25673 Beckham Rd, Harlingen, TX 78552-6356 2014-01-01
1477974913 Silvia Salinas II Specialist/Technologist 25673 Beckham Rd, Harlingen, TX 78552-6356 2013-12-31
1669893772 Hector Juan Acosta II Physical Therapist 25673 Beckham Rd, Harlingen, TX 78552-6356 2013-12-17

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Taxonomy Information

Taxonomy Code 251E00000X
Grouping Agencies
Classification Home Health

Taxonomy Definition

A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added]

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Competitor

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City HARLINGEN
Zip Code 78552

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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