Active NPI
Asoral Corp
Doing business as Bolt Staffing
- Home Health Agency
- Orlando, FL
National Provider Identifier
1073983185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 234141
- Legal business name
- ASORAL CORP
- Doing business as
- Bolt Staffing
- Practice address
- 6900 Tavistock Lakes Blvd
Suite 400
Orlando, FL 32827-7589 - Phone
- (888) 819-2088
- NPI assigned
- Oct 1, 2015
- Last updated
- Feb 15, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Karen Larosa Pryce Bentham
- Title
- Ceo
- Phone
- (888) 819-2088
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 234141 | FL | Primary |
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | 234141 | FL |
Addresses
Primary practice location
6900 Tavistock Lakes Blvd
Suite 400
Orlando, FL 32827-7589
Mailing address
PO Box 111
Loughman, FL 33858-0111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 611201 | Medicaid | FL |
Other names 1
- Bolt Staffing
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455494400000",
"number": "1073983185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 111",
"city": "LOUGHMAN",
"state": "FL",
"postal_code": "338580111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6900 TAVISTOCK LAKES BLVD",
"address_2": "SUITE 400",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328277589",
"telephone_number": "888-819-2088"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASORAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-01",
"last_updated": "2016-02-15",
"status": "A",
"authorized_official_last_name": "PRYCE BENTHAM",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "LAROSA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "888-819-2088",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "FL",
"license": "234141",
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "FL",
"license": "234141",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "611201",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bolt Staffing",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.