Healthcare Provider Details

I. General information

NPI: 1699233759
Provider Name (Legal Business Name): BIDWELL CARE HOLDINGS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2019
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11181 HEALTH PARK BLVD STE 1180
NAPLES FL
34110-5734
US

IV. Provider business mailing address

11181 HEALTH PARK BLVD STE 1180
NAPLES FL
34110-5734
US

V. Phone/Fax

Practice location:
  • Phone: 239-260-9660
  • Fax: 239-596-9532
Mailing address:
  • Phone: 239-260-9660
  • Fax: 239-596-9532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: JOSEPH BIDWELL
Title or Position: OWNER
Credential:
Phone: 239-260-9660