Crawfordsville Bickford Cottage, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

16-003674-1 Issued in IN

Legal business name

CRAWFORDSVILLE BICKFORD COTTAGE, LLC

Practice address

100 Bickford LN
Crawfordsville, IN 47933-2186

Phone

(765) 362-2000

Fax

(765) 362-2004

NPI assigned

Nov 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Alan Fairbanks

Title

Executive VP

Phone

(913) 782-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480377600000",
    "number": "1013450709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13795 S MUR LEN RD",
            "address_2": "SUITE 301",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621675",
            "telephone_number": "913-782-3200",
            "fax_number": "913-782-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BICKFORD LN",
            "city": "CRAWFORDSVILLE",
            "state": "IN",
            "postal_code": "479332186",
            "telephone_number": "765-362-2000",
            "fax_number": "765-362-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORDSVILLE BICKFORD COTTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "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",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "16-003674-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Dennis Coons
• Lindsey Denae Cord, PMHNP
• Madison Corwin, RBT
• Cynthia M Cosenza, R.D., C.D.
• Dalton Dwayne Crabtree, DC
• Crawfordsville Chiropractic, LLC
• Crawfordsville Chiroteam, Inc
• Crawfordsville Community School Corporation
• Crawfordsville Emergency Ambulance Service
• Crawfordsville Emergency Ambulance Service

• All providers in Crawfordsville, IN
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.