Sycamore Street, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SYCAMORE STREET, LLC

Doing business as

Bickford of Carmel, LLC

Practice address

5829 E 116TH St
Carmel, IN 46033-9307

Phone

(317) 807-1500

NPI assigned

Jun 10, 2024

Last updated

Jun 10, 2024By 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. Bryan Clegg

Title

Controller

Phone

(913) 907-9818

Specialties & licenses 1

Addresses

Other names 1

• Bickford of Carmel, LLC Doing business as

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1669214821",
    "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": "919-907-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5829 E 116TH ST",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "460339307",
            "telephone_number": "317-807-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYCAMORE STREET, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "CLEGG",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "913-907-9818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bickford of Carmel, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter R Swiatek, MD
• Diane G Swinford, LCSW
• Dori Swinney
• Garrett Swisher, RD
• Michelle Switzer
• Sydney B Isley (Rooted Counseling and Support Center)
• Synergistic Labs LLC
• Synergy Wellness Associates LLC (Synergy Wellness Associates)
• Krysten Syphers
• Syra Health Corp.

• Assisted Living Facility in Carmel, IN
• Providers in Carmel, IN by specialty
• Assisted Living Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.