Organization Active NPI

Bickford Home Care of Western Suburbs, LLC

  • Home Health Agency
  • St Charles, IL
National Provider Identifier
1043975204
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Nov 3, 2021

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.