Organization Active NPI

Baddazzle Care, LLC

  • Assisted Living Facility
  • Bradenton, FL
National Provider Identifier
1104763655
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10127OtherFLAHCA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.