Bradenton Health Care Associates LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF130471011 Issued in FL

Legal business name

BRADENTON HEALTH CARE ASSOCIATES LLC

Practice address

6305 Cortez Rd W
Bradenton, FL 34210-2604

Phone

(941) 761-3499

Fax

(941) 761-8938

NPI assigned

May 23, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven W. Oelfke

Title

Manager

Phone

(941) 761-3499

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Bradenton Health Care Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1366497018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102604",
            "telephone_number": "941-761-3499",
            "fax_number": "941-761-8938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 CORTEZ RD W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342102604",
            "telephone_number": "941-761-3499",
            "fax_number": "941-761-8938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADENTON HEALTH CARE ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "OELFKE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "941-761-3499"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF130471011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "025206900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bradenton Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.