KAILEY BRADLEY
NPI 1962864348
Community Based Residential Treatment Facility, Mental Illness in Ashland, OH

Active since March 24, 2016PECOS Enrolled
80 SAMARITAN AVE APT 1, ASHLAND, OH 44805(419) 589-5511 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kailey Bradley NPPES

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

KAILEY BRADLEY (NPI 1962864348) is an individual community based residential treatment facility, mental illness provider in Ashland, Ohio, licensed in Ohio (C1400418) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1962864348
Entity TypeIndividualFemale
Primary Taxonomy320800000X
Provider Legal NameKAILEY BRADLEY
Location Address80 SAMARITAN AVE APT 1Ashland, OH 44805-3924
Mailing Address80 Samaritan Ave Apt 1Ashland, OH 44805-3924 · (419) 589-5511
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 24, 2016
NPI 1962864348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License Licensed in OH · C1400418
Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

80 SAMARITAN AVE APT 1, Ashland, OH 44805

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kailey Bradley is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1456796671
PECOS Enrollment IDI20240228000285
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Kailey Bradley's NPI number?

The NPI number for Kailey Bradley is 1962864348. It was assigned to this individual provider in the NPPES registry on March 24, 2016.

Where is Kailey Bradley located?

Kailey Bradley practices at 80 Samaritan Ave Apt 1, Ashland, OH 44805. The listed phone number is (419) 589-5511.

What is Kailey Bradley's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Is Kailey Bradley enrolled in Medicare?

Yes. Kailey Bradley is registered in the Medicare PECOS enrollment system.

What insurance does Kailey Bradley accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance and 2 other insurers list Kailey Bradley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kailey Bradley was last updated on March 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.