Provider Demographics
NPI:1811870819
Name:BRADENTON HOMECARE SERVICES LLC
Entity type:Organization
Organization Name:BRADENTON HOMECARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LUKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERTON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:941-666-9393
Mailing Address - Street 1:2313 MIZNER BAY AVE
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-2559
Mailing Address - Country:US
Mailing Address - Phone:941-666-9393
Mailing Address - Fax:941-541-0488
Practice Address - Street 1:2313 MIZNER BAY AVE
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-2559
Practice Address - Country:US
Practice Address - Phone:941-666-9393
Practice Address - Fax:941-541-0488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health