Bolt Enterprises Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

431500 Issued in PA

Legal business name

BOLT ENTERPRISES INC.

Practice address

903 Morgan St
Brackenridge, PA 15014-1121

Phone

(724) 224-1822

Fax

(724) 224-1480

NPI assigned

Jun 10, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Craig McKinney

Title

Administrator

Phone

(724) 224-1822

Specialties & licenses 1

Addresses

Other names 1

• APPLEWOOD personal care home Doing business as

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1871753293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 MORGAN ST",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141121",
            "telephone_number": "724-224-1822",
            "fax_number": "724-224-1480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MORGAN ST",
            "city": "BRACKENRIDGE",
            "state": "PA",
            "postal_code": "150141121",
            "telephone_number": "724-224-1822",
            "fax_number": "724-224-1480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLT ENTERPRISES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "724-224-1822",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PA",
            "license": "431500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APPLEWOOD personal care home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Brackenridge, PA
• Assisted Living Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.