MEDICARE: BRADYVIEW MANOR LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	409150	PA

General Provider Information

NPI Number	:	1790740959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BRADYVIEW MANOR LLC

Provider Business Mailing Address
First Line	:	PO BOX 240
Second Line	:
City	:	BROCKWAY
State	:	PA
Zip	:	15824
Country	:	US
Telephone Number	:	814-265-1164
Fax Number	:	814-265-1377

Provider Business Practice Location Address
First Line	:	405 ROBINSON STREET
Second Line	:
City	:	EAST BRADY
State	:	PA
Zip	:	16028
Country	:	US
Telephone Number	:	724-526-3006
Fax Number	:	724-526-3775

Authorized Official
Title or Position	:	BILLING SUPERVISOR
Name	:	MR. BRIAN P RENDOS
Credential	:
Telephone Number	:	814-265-1164

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1942283965 — EAST BRADY AREA AMB SERVICE
Practice Location Address:

426 KELLYS WAY
EAST BRADY, PA
16028-0325

Practice Phone: 724-526-5065
Practice Fax: 724-526-3532

1598748022 — MICHAEL C NEISWONGER CRNP
Practice Location Address:

419 KELLYS WAY
EAST BRADY, PA
16028-2003

Practice Phone: 724-526-5600
Practice Fax: 724-526-3289

1104930718 — MR. BRIAN F PELLEGRINO RPH
Practice Location Address:

7 WATER STREET
EAST BRADY, PA
16028-0307

Practice Phone: 724-526-3110
Practice Fax: 724-526-3044

1649389297 — ETHAN SCHWARZ R.PH.
Practice Location Address:

7 WATER ST.
EAST BRADY, PA
16028

Practice Phone: 724-526-3110
Practice Fax: 724-526-3044

1629145677 — SUGARCREEK TOWNSHIP AMBULANCE SERVICE INC.
Practice Location Address:

2030 STATE ROUTE 268
EAST BRADY, PA
16028-2528

Practice Phone: 724-526-5227
Practice Fax: 724-526-5910

1366566465 — EAST BRADY AREA AMBULANCE
Practice Location Address:

426 KELLYS WAY
EAST BRADY, PA
16028-0325

Practice Phone: 724-526-5065
Practice Fax: 724-526-3532

Directions to “BRADYVIEW MANOR LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.