BLTR FL LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BLTR FL LLC

Doing business as

Affordable Senior Home Care

Practice address

12995 S Cleveland Ave Ste 252
Fort Myers, FL 33907-7714

Phone

(239) 236-7238

Fax

(239) 791-8085

NPI assigned

Dec 18, 2020

Organization subpart

No

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) 674-7023

Specialties & licenses 1

Addresses

Other names 1

• Affordable Senior Home Care Doing business as

Locations

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

{
    "created_epoch": "1608249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608249600000",
    "number": "1588250013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE STE 252",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077714",
            "telephone_number": "239-236-7238",
            "fax_number": "239-791-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12995 S CLEVELAND AVE STE 252",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339077714",
            "telephone_number": "239-236-7238",
            "fax_number": "239-791-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLTR FL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-18",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A",
        "authorized_official_last_name": "BRADSHAW",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-674-7023"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Affordable Senior Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul Mark Bloomston, MD
• Carl Henry Blot, D.C.
• Carrie Martinez Blount, LMHC
• John C Blower, CRNA
• Richard Lawrence Bloy, MD
• Blu Fut International Consulting LLC
• Blucove Psychiatry, Inc.
• Blue Bridge Community LLC
• Blue Bridge Therapy Center LLC
• Blue Clinical Center LLC

• Home Health Agency in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.