BRADFORD HOUSE, LLC
NPI 1861568206
Skilled Nursing Facility in Bentonville, AR

Active since November 28, 2006
1202 SE 30TH ST, BENTONVILLE, AR 72712(479) 273-3430(479) 273-3860 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bradford House, Llc NPPES

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

BRADFORD HOUSE, LLC (NPI 1861568206) is a healthcare organization registered as a skilled nursing facility in Bentonville, Arkansas and active in the NPI registry since November 2006. The organization lists John Montgomery, Owner, as its authorized official.

NPPES Registry Identity

NPI1861568206
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameBRADFORD HOUSE, LLC
Location Address1202 SE 30TH STBentonville, AR 72712-3779
Mailing Address1202 Se 30th StBentonville, AR 72712-3779 · (479) 273-3430 · Fax (479) 273-3860
Fax(479) 273-3860
Organization SubpartNo
Authorized OfficialJohn MontgomeryOwner · (479) 273-3430
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 13, 2007
NPI 1861568206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in AR · 787
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1202 SE 30TH ST, Bentonville, AR 72712

Other Identifiers 2

Medicare ID-Type Unspecified045373AR · Medicare Provider Number
Other015373AR · Medipak Provider Number

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
1202 SE 30TH ST
BENTONVILLE, AR 72712

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 Bradford House, LLC's NPI number?

The NPI number for Bradford House, LLC is 1861568206. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Bradford House, LLC located?

Bradford House, LLC is located at 1202 SE 30th St, Bentonville, AR 72712. The listed phone number is (479) 273-3430.

What is Bradford House, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Bradford House, LLC was last updated on August 13, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.