KELLY MICHELLE BRADSHAW
NPI 1720788490
Homemaker in Mansfield, OH

Active since March 09, 2023
595 SUNNYDALE AVE, MANSFIELD, OH 44905(419) 543-6911 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Michelle Bradshaw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MICHELLE BRADSHAW (NPI 1720788490) is an individual homemaker provider in Mansfield, Ohio and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1720788490
Entity TypeIndividualFemale
Primary Taxonomy376J00000X
Provider Legal NameKELLY MICHELLE BRADSHAW
Location Address595 SUNNYDALE AVEMansfield, OH 44905-1436
Mailing Address595 Sunnydale AveMansfield, OH 44905-1436 · (419) 543-6911
Sole ProprietorYes
Enumeration DateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
NPI 1720788490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Also ListedPrivate VehicleTaxonomy 347C00000X
595 SUNNYDALE AVE, Mansfield, OH 44905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Bradshaw's NPI number?

The NPI number for Kelly Bradshaw is 1720788490. It was assigned to this individual provider in the NPPES registry on March 9, 2023.

Where is Kelly Bradshaw located?

Kelly Bradshaw practices at 595 Sunnydale Ave, Mansfield, OH 44905. The listed phone number is (419) 543-6911.

What is Kelly Bradshaw's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

When was this NPI record last updated?

The NPPES record for Kelly Bradshaw was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.