Active NPI
Baddazzle Care, LLC
- Assisted Living Facility
- Bradenton, FL
National Provider Identifier
1104763655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- BADDAZZLE CARE, LLC
- Practice address
- 5015 29TH Ave W
Bradenton, FL 34209-6119 - Phone
- (941) 794-5558
- Fax
- (845) 725-7744
- NPI assigned
- May 1, 2026
- Last updated
- May 1, 2026
- 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
- Betty Gordon
- Title
- Owner/Admin
- Phone
- (941) 794-5558
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
5015 29TH Ave W
Bradenton, FL 34209-6119
Mailing address
5015 29TH Ave W
Bradenton, FL 34209-6119
Phone (941) 794-5558
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10127 | Other | FL | AHCA |
National Provider Directory
National Provider DirectoryLocations
5015 29th Ave W
Bradenton, FL 34209
Phone (941) 794-5558
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Podiatrist
- Atlantis, FL
- NPI 1417005281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777593600000",
"number": "1104763655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5015 29TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342096119",
"telephone_number": "941-794-5558",
"fax_number": "845-725-7744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5015 29TH AVE W",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342096119",
"telephone_number": "941-794-5558",
"fax_number": "845-725-7744"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BADDAZZLE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-01",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A",
"authorized_official_last_name": "GORDON",
"authorized_official_first_name": "BETTY",
"authorized_official_title_or_position": "OWNER/ADMIN",
"authorized_official_telephone_number": "941-794-5558"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCA",
"identifier": "10127",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
- Gregory Harris Bach, M.D.
- Patricia Bach, PHD
- Back and Better Injury Center LLC
- Back Pain Institute of West Florida (Aderholdt Back Pain Institute)
- Sara Y Badawy, PHARMD
- Holley Marie Baden, MS CCC SLP
- Danielle Nicole Bader, PHARMD
- Gabriela Badillo Areizaga
- Kanal V Badiyani
- Gabriel Anibal Baeza Hasbun, CRDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.