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Rhena N Bradley

Home Health Aide in Riverdale, IL. Individual provider (NPI-1).

NPI number1174160402
StatusActive
Last updated in NPPESDec 5, 2019

Details

NPI
1174160402
Entity type
Individual (NPI-1)
Name
Rhena N Bradley
Sex
Female
Sole proprietor
No
Enumeration date
Dec 5, 2019
Last updated
Dec 5, 2019

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 codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–ILYes

Practice location

502 W 138th St
Riverdale, IL 60827-1611

Phone 708-880-1397 · Fax 708-880-1215

Mailing address

502 W 138th St
Riverdale, IL 60827

Phone 708-880-1397 · Fax 708-880-1215

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