Bradley Home Caring For Wake Community & Carolinas
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Garner, NC. Organization (NPI-2).
Details
- NPI
- 1124239462
- Entity type
- Organization (NPI-2)
- Legal business name
- Bradley Home Caring For Wake Community & Carolinas
- Organization subpart
- No
- Enumeration date
- May 25, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | MHL-092-610 | NC | Yes |
Other names
- Pkeds House (Doing Business As)
Practice location
907 Frances DrGarner, NC 27529-4242
Phone 919-772-9382 · Fax 919-772-9382
Mailing address
Po Box 2055Garner, NC 27529-2055
Phone 919-772-9382 · Fax 919-772-9382
Authorized official
Cordelia Akagha
Director
9197729382
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Intellectual and/or Developmental Disabilities Residential Treatment Facility providers in Garner · All 1,278 providers in Garner
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