Bickford of Lancaster, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2461R Issued in OH

Legal business name

BICKFORD OF LANCASTER, LLC

Practice address

1834 Countryside Dr
Lancaster, OH 43130-1078

Phone

(740) 689-9944

NPI assigned

Sep 17, 2015

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 Vice President

Phone

(913) 782-3200

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1053780320",
    "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": "1834 COUNTRYSIDE DR",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431301078",
            "telephone_number": "740-689-9944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICKFORD OF LANCASTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "913-782-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2461R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Lancaster, OH
• Providers in Lancaster, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.