Bickford of Rocky River, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2190R Issued in OH

Legal business name

BICKFORD OF ROCKY RIVER, LLC

Practice address

21600 Detroit Rd
Rocky River, OH 44116-2218

Phone

(440) 356-9797

NPI assigned

Jun 8, 2018

Last updated

Jun 8, 2018By 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

Alan Fairbanks

Title

Executive Vice President

Phone

(913) 782-3200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1619460235",
    "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": "913-782-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21600 DETROIT RD",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162218",
            "telephone_number": "440-356-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICKFORD OF ROCKY RIVER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "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"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "2190R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benedetto and Associates
• Kaitlyn Beodray
• Berris Optical of Rocky River, Inc.
• Michael Thomas Betor, D.D.S.
• Richard E Betor, D.D.S.
• Marie Griffith Bielefeld, PHD
• Birch Dialysis LLC (Hilliard Dialysis)
• Virginia Anne Birkhimer, OTR/L, MBA, BA
• Betty Blaha, LPN
• Summer Alia Blair, ANP-BC

• Assisted Living Facility in Rocky River, OH
• Providers in Rocky River, 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 Jun 8, 2018; 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.