Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BRADFORD GUEST CARE, LLC
Active
Organization
BRADFORD GUEST CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN C GAMBLE (OFFICER)
(318) 798-2648
Entity
Organization
Contact information
Practice address
3050 BAIRD RD, SHREVEPORT, LA 71118-3818
(318) 688-1010
(318) 688-1099
Mailing address
PO BOX 52389, SHREVEPORT, LA 71135-2389
(318) 798-2648
(318) 798-3451
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
868
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1516546
—
LA
Enumeration date
06/08/2006
Last updated
03/28/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers