Organization Active NPI

BLTR ENT LLC

Doing business as Affordable Senior Home Care

  • Home Health Agency
  • Toms River, NJ
National Provider Identifier
1447605191
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HP0081900 Issued in NJ
Legal business name
BLTR ENT LLC
Doing business as
Affordable Senior Home Care
Practice address
57 E Water St
Toms River, NJ 08753-7637
Phone
(732) 279-4495
Fax
(732) 279-4658
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Timothy Bradshaw
Title
President
Phone
(732) 279-4495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HP0081900 NJ Primary

Addresses

Primary practice location

57 E Water St
Toms River, NJ 08753-7637

Mailing address

57 East Water Street
Toms River, NJ 08753
Phone (732) 279-4495

Other identifiers 1

IdentifierTypeStateIssuer
1164679775OtherNJNPI

Other names 1

  • Affordable Senior Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Affordable Senior Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

57 E Water St
Toms River, NJ 08753
Phone (732) 279-4495

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1447605191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 EAST WATER STREET",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08753",
            "telephone_number": "732-279-4495",
            "fax_number": "732-279-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 E WATER ST",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537637",
            "telephone_number": "732-279-4495",
            "fax_number": "732-279-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLTR ENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-279-4495"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0081900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164679775",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Senior Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toms River, NJ

Sources for this page

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

Verify at the official NPI Registry.