Provider Demographics
NPI:1477444909
Name:BRADLEY HOME CARE SERVICES AND TRANSPORTATION PLLC
Entity type:Organization
Organization Name:BRADLEY HOME CARE SERVICES AND TRANSPORTATION PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARONDA
Authorized Official - Middle Name:TRABETH
Authorized Official - Last Name:NICHOLSON-BRADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:BSN RN
Authorized Official - Phone:252-258-2468
Mailing Address - Street 1:2611 CONCHO CIR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-8960
Mailing Address - Country:US
Mailing Address - Phone:252-258-2468
Mailing Address - Fax:
Practice Address - Street 1:3740 EVANS ST STE D
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-5413
Practice Address - Country:US
Practice Address - Phone:252-493-2684
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-12
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)