Organization Active NPI

Bidwell Service Care LLC

Doing business as Home Instead Senior Care

  • In Home Supportive Care Agency
  • Fort Myers, FL
National Provider Identifier
1467754051
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
228825 Issued in FL
Legal business name
BIDWELL SERVICE CARE LLC
Doing business as
Home Instead Senior Care
Practice address
16520 S Tamiami TRL
Suite241
Fort Myers, FL 33908-4569
Phone
(239) 226-0007
Fax
(239) 226-0022
NPI assigned
Dec 2, 2010
Last updated
Dec 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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

Authorized official

Name
Mrs. Sue Bidwell
Title
Managing Member
Phone
(239) 226-0007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993091 FL
In Home Supportive Care Agency 253Z00000X 228825 FL Primary

Addresses

Primary practice location

16520 S Tamiami TRL
Suite241
Fort Myers, FL 33908-4569

Mailing address

16520 S Tamiami TRL
Suite241
Fort Myers, FL 33908-4569
Phone (239) 226-0007

Other identifiers 1

IdentifierTypeStateIssuer
685223800MedicaidFL

Other names 1

  • Home Instead Senior Care Doing business as

National Provider Directory

National Provider Directory

Locations

16520 S Tamiami Trl
Ste 241
Fort Myers, FL 33908
Phone (239) 226-0007

NPI Registry JSON

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

{
    "created_epoch": "1291248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291248000000",
    "number": "1467754051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16520 S TAMIAMI TRL",
            "address_2": "SUITE241",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084569",
            "telephone_number": "239-226-0007",
            "fax_number": "239-226-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16520 S TAMIAMI TRL",
            "address_2": "SUITE241",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339084569",
            "telephone_number": "239-226-0007",
            "fax_number": "239-226-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIDWELL SERVICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-02",
        "last_updated": "2010-12-02",
        "status": "A",
        "authorized_official_last_name": "BIDWELL",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "239-226-0007",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993091",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "228825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "685223800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Home Instead Senior Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; 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.