Provider Demographics
NPI:1215394390
Name:BRADFORD HOUSE FAMILY CARE LLC
Entity Type:Organization
Organization Name:BRADFORD HOUSE FAMILY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:BRADFORD
Authorized Official - Last Name:ASKEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252-312-7906
Mailing Address - Street 1:703 BAYBERRY LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27856-1578
Mailing Address - Country:US
Mailing Address - Phone:252-220-6141
Mailing Address - Fax:252-220-6141
Practice Address - Street 1:703 BAYBERRY LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:NC
Practice Address - Zip Code:27856-1578
Practice Address - Country:US
Practice Address - Phone:252-220-6141
Practice Address - Fax:252-220-6141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home