Bickford of Scioto, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

1994R Issued in OH

Legal business name

BICKFORD OF SCIOTO, LLC

Practice address

3500 Riverside Dr
Upper Arlington, OH 43221-1753

Phone

(614) 457-3500

NPI assigned

Jun 11, 2018

Last updated

Jun 11, 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

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528675200000",
    "number": "1740773134",
    "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": "3500 RIVERSIDE DR",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211753",
            "telephone_number": "614-457-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BICKFORD OF SCIOTO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-11",
        "last_updated": "2018-06-11",
        "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": "1994R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lysle Baumgartner, M.D.
• Gregory Ernest Bellisari, MD
• Max Berk, OD
• Cassandra Bernard
• Samantha Bernhardt, RDN
• Mary Elisabeth Bishop, CNP
• Rahul Kumar Biyani, M.D.
• Ryan Edward Blackwell, MD
• Samantha Armstrong Blosser, FNP
• Kevin C. Blubaugh, L.M.T.

• Assisted Living Facility in Upper Arlington, OH
• Providers in Upper Arlington, 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 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.