Organization Active NPI

Bickford of Overland Park, LLC

  • Assisted Living Facility
  • Overland Park, KS
National Provider Identifier
1265674378
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
N046050 Issued in KS
Legal business name
BICKFORD OF OVERLAND PARK, LLC
Practice address
10665 Barkley St
Overland Park, KS 66212-1848
Phone
(913) 782-3200
Fax
(913) 782-4851
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Authorized official

Name
Mr. Mike Eby
Title
Executive VP/Cfo
Phone
(913) 782-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X N046050 KS Primary

Addresses

Primary practice location

10665 Barkley St
Overland Park, KS 66212-1848

Mailing address

10665 Barkley St
Overland Park, KS 66212-1848
Phone (913) 782-3200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1265674378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10665 BARKLEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121848",
            "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": "10665 BARKLEY ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662121848",
            "telephone_number": "913-782-3200",
            "fax_number": "913-782-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICKFORD OF OVERLAND PARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "EBY",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "EXECUTIVE VP/CFO",
        "authorized_official_telephone_number": "913-782-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "KS",
            "license": "N046050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.