Bickford of Maplewood, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

25824 Issued in MN

Legal business name

BICKFORD OF MAPLEWOOD, LLC

Practice address

2300 Hazelwood St
Maplewood, MN 55109-2668

Phone

(651) 777-3316

NPI assigned

Mar 9, 2018

Organization subpart

No

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

Authorized official

Name

Alan Fairbanks

Title

Executive VP

Phone

(913) 782-3200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1013410794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13795 S MUR LEN RD STE 301",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621096",
            "telephone_number": "913-782-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HAZELWOOD ST",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551092668",
            "telephone_number": "651-777-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICKFORD OF MAPLEWOOD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "913-782-3200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MN",
            "license": "25824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Dee Besta
• Sheila Jamaluddin Bharmal, M.D.
• Anushree Bhosale
• Pallavi Bhosale, DDS
• Alicia Michelle Bibeau, LDH
• Joseph Biernat III, D.C
• Todd James Billington, D.D.S.
• Bio-Medical Applications of Minnesota, Inc.
• Birbilis and Associates, P.a.
• Jean M. Birbilis, PH.D., L.P.

• Assisted Living Facility in Maplewood, MN
• Providers in Maplewood, MN by specialty
• Assisted Living Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.