Active NPI
Bickford Home Care of Western Suburbs, LLC
- Home Health Agency
- St Charles, IL
National Provider Identifier
1043975204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BICKFORD HOME CARE OF WESTERN SUBURBS, LLC
- Practice address
- 40W304 Lafox Rd Unit B
St Charles, IL 60175-6581 - Phone
- (913) 782-3200
- NPI assigned
- Nov 3, 2021
- Organization subpart
- No
NPPES NPI Registry
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 of Ops
- Phone
- (913) 782-3200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
40W304 Lafox Rd Unit B
St Charles, IL 60175-6581
Mailing address
13795 S Mur Len Rd Ste 301
Olathe, KS 66062-1096
Phone (614) 846-6500
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1635897600000",
"number": "1043975204",
"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": "614-846-6500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40W304 LAFOX RD UNIT B",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601756581",
"telephone_number": "913-782-3200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BICKFORD HOME CARE OF WESTERN SUBURBS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-03",
"last_updated": "2021-11-03",
"certification_date": "2021-11-03",
"status": "A",
"authorized_official_last_name": "FAIRBANKS",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "EXECUTIVE VP OF OPS",
"authorized_official_telephone_number": "913-782-3200",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.