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NPISignal

Individual Healthcare Provider

Theresa Bradley, OPERATIONS MANAGER

NPI Record: ActiveAssisted Living Facility
NPI1295514529
Henrico, Virginia

Provider's NPPES record last updated: June 4, 2024

Overview

Entity Type
Individual Healthcare Provider
NPI
1295514529
Primary Specialty
Assisted Living Facility
Practice Location
Henrico, Virginia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 6:02 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Assisted Living Facility

    Nursing & Custodial Care Facilities

    Primary

    A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

    Taxonomy code 310400000X
  • Counselor

    Pastoral

    Behavioral Health & Social Service Providers

    Definition to come...

    Taxonomy code 101YP1600X
  • Case Manager/Care Coordinator

    Other Service Providers

    A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

    Taxonomy code 171M00000X
  • Contractor

    Other Service Providers

    For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

    Taxonomy code 171W00000X
  • Driver

    Other Service Providers

    A person employed to operate a motor vehicle as a carrier of persons or property.

    Taxonomy code 172A00000X

Provider-Reported License Information

Driver (Virginia)
1295514529
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

2801 Pennington Rd

Henrico, Virginia 23294-4013

Phone: (804) 307-6615

Record Information

Enumeration Date
September 26, 2023
Provider's NPPES Record Last Updated
June 4, 2024
Certification Date
June 4, 2024
NPISignal NPPES Dataset
August 2026

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