NPIMap

Organization Active NPI

Wabash Bickford Cottage, LLC

  • Assisted Living Facility
  • Wabash, IN
National Provider Identifier
1477937951
Registry record updated Jul 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
15-003466-1 Issued in IN
Legal business name
WABASH BICKFORD COTTAGE, LLC
Practice address
3037 W Division Rd
Wabash, IN 46992-8477
Phone
(260) 569-2000
Fax
(260) 569-6759
NPI assigned
Jul 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2015

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
Phone
(913) 782-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 15-003466-1 IN Primary

Addresses

Primary practice location

3037 W Division Rd
Wabash, IN 46992-8477

Mailing address

13795 S Mur Len Rd
Suite #301
Olathe, KS 66062-1675
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": "1436918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436918400000",
    "number": "1477937951",
    "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": "3037 W DIVISION RD",
            "city": "WABASH",
            "state": "IN",
            "postal_code": "469928477",
            "telephone_number": "260-569-2000",
            "fax_number": "260-569-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH BICKFORD COTTAGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-15",
        "last_updated": "2015-07-15",
        "status": "A",
        "authorized_official_last_name": "FAIRBANKS",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE VP",
        "authorized_official_telephone_number": "913-782-3200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IN",
            "license": "15-003466-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wabash, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2015; 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.