NPI 1225825540 · live from the CMS NPI Registry
Cheyanne Siecrra Bradley
Home Health in Saint Clair Shores, MI. National Provider Identifier 1225825540, active.
NPI record
| NPI | 1225825540 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Home Health 251E00000X |
| Practice location | 19536 Shady Lane Ave, Saint Clair Shores, MI 48080 |
| Practice phone | 313-808-3338 |
| Enumerated | April 21, 2025 |
| Last updated | April 21, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Hospice Care, Community Based | 251G00000X | — |
| Custodial Care Facility, Adult Care Home | 311ZA0620X | — |
| Home Health primary | 251E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.