Bickford Home Care of Northwest Suburbs, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

BICKFORD HOME CARE OF NORTHWEST SUBURBS, LLC

Practice address

820 E Terra Cotta Ave Ste 232
Crystal Lake, IL 60014-3655

Phone

(913) 782-3200

NPI assigned

Nov 3, 2021

Last updated

Nov 3, 2021By the provider in NPPES

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 of Ops

Phone

(913) 782-3200

Specialties & licenses 1

Addresses

Locations

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": "1235894494",
    "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": "820 E TERRA COTTA AVE STE 232",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143655",
            "telephone_number": "913-782-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICKFORD HOME CARE OF NORTHWEST 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": []
}

• Maureen Beske, LCPC
• Beyond Play LLC
• Natasha Bhagat, DPM
• Sam J Biafora, M.D.
• Justin J Bichler, DPM
• Natalie Biddle
• Maria Bidelman
• Lisa Bieze
• Susan J Bigham, CNP
• Valerie Bilins

• Home Health Agency in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Home Health Agency in Illinois

• 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.