BRADSHAW HOME MEDICAL EQUIPMENT LLC. (NPI# 1790741569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790741569 |
| Entity Type | Organization |
| Organization Name | BRADSHAW HOME MEDICAL EQUIPMENT LLC. |
| Practice Address |
9350 E Valley Rd Ste C. Prescott Valley AZ 86314-2328 |
| Practice Telephone | 9287758282 |
| Practice Fax Number | 9287758869 |
| Mailing Telephone | 9287758282 |
| Mailing Fax Number | 9287758869 |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-01-21 |
| Authorized Official Name | MR. ROBERT KELLER (OWNER/PRESIDENT) |
| Authorized Official Telephone | 9287758282 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
20102224 | AZ | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 022261 | 05 |
| Street Address |
9350 E VALLEY RD STE C. |
| City | PRESCOTT VALLEY |
| State | AZ |
| Zip Code | 86314-2328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992326029 | Sequelcare of Arizona | Community Based Residential Treatment Facility, Mental Illness | 3001 N. Mountain View Rd, Prescott Valley, AZ 86314 | 2020-04-29 |
| 1124666516 | Best Care Behavioral Homes LLC | Community/Behavioral Health | 5385 W Saddleback Drive, Prescott Valley, AZ 86314 | 2019-12-16 |
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1003398983 | Richard Telck | Pharmacist | 7720 E. Highway 69, Prescott Valley, AZ 86314 | 2018-09-06 |
| 1912493065 | Akdhc,llc | Internal Medicine | 7862 E Florentine Rd, Suite 120, Prescott Valley, AZ 86314 | 2018-07-02 |
| 1700377983 | Pronghorn Psychiatry | Clinic/Center | 5940 E. Copper Hill Dr, Suite E, Prescott Valley, AZ 86314 | 2018-05-23 |
| 1689185126 | Thumb Butte Urgent Care | Clinic/Center | 6496 East Highway 69, Prescott Valley, AZ 86314 | 2017-10-23 |
| 1740738046 | Janine Kauffmann | Pharmacist | 7720 East Highway 69, Prescott Valley, AZ 86314 | 2016-09-14 |
| 1528415650 | Nazcare, Inc. | Exclusive Provider Organization | 8200 E. Jacque Dr., Prescott Valley, AZ 86314 | 2016-05-18 |
| 1184087009 | William Beverly | Marriage & Family Therapist | 8603 E. Eastridge Dr., Ste A, Prescott Valley, AZ 86314 | 2016-03-29 |
| Find all providers in zip 86314 | ||||
| Taxonomy Code | 332BX2000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Oxygen Equipment & Supplies |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912541558 | The Stateserv Companies, LLC | Durable Medical Equipment & Medical Supplies | 8926 E. Long Mesa Drive, Prescott Valley, AZ 86314 | 2019-11-06 |
| 1619918000 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 8067 E Florentine Rd, Prescott Valley, AZ 86314 | 2006-06-09 |
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|---|---|---|---|---|
| 1952913832 | Ea Medical Company | Durable Medical Equipment & Medical Supplies | 658 S 223rd Ln, Buckeye, AZ 85326-6213 | 2020-08-20 |
| 1790302651 | Dine Dmes LLC | Durable Medical Equipment & Medical Supplies | Nr-13 & B.i.a. 134, Lukachukai, AZ 86507-1200 | 2020-06-26 |
| 1477112167 | Bennett Medical Services | Durable Medical Equipment & Medical Supplies | 4130 E Wood St Ste 180, Phoenix, AZ 85040-1972 | 2019-06-07 |
| 1164089736 | Oximed Inc | Durable Medical Equipment & Medical Supplies | 1940 W Baseline Rd Ste 4, Mesa, AZ 85202-9066 | 2019-05-20 |
| 1134692379 | Theodore Allen | Durable Medical Equipment & Medical Supplies | 1/4 M. East of B.i.a.-13 & B.i.a. N-133, Lukachukai, AZ 86507-1200 | 2019-01-10 |
| 1003384835 | Krypton Health Services LLC | Durable Medical Equipment & Medical Supplies | 1600 W Broadway Rd Ste 100, Tempe, AZ 85282-1138 | 2018-11-09 |
| 1447735691 | Compassion Medical Supply | Durable Medical Equipment & Medical Supplies | 2402 Kimball St, Heber, AZ 85928 | 2018-10-03 |
| 1003332339 | America's Best Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 6700 W Chicago St Ste 3, Chandler, AZ 85226-3337 | 2017-08-18 |
| 1225576226 | Integrity Treatment Solutions | Durable Medical Equipment & Medical Supplies | 1529 N Wilmot Rd, Tucson, AZ 85712-4414 | 2017-02-09 |
| 1588054407 | Pulmocare Respiratory Services, Inc. | Durable Medical Equipment & Medical Supplies | 3538 N Romero Rd Ste 160, Tucson, AZ 85705-5278 | 2015-01-30 |
| Find all providers with the same taxonomy | ||||
| City | PRESCOTT VALLEY |
| Zip Code | 86314 |
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| 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.