Provider Demographics
NPI:1700161254
Name:HAYES, BRANDON JAMAR (CNA)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:JAMAR
Last Name:HAYES
Suffix:
Gender:M
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14705 REDDINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44137-3219
Mailing Address - Country:US
Mailing Address - Phone:216-640-6748
Mailing Address - Fax:
Practice Address - Street 1:737 PARKWAY AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-1843
Practice Address - Country:US
Practice Address - Phone:317-601-6225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide