Omaha I Bickford Cottage, L.L.C.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALF166 Issued in NE

Legal business name

OMAHA I BICKFORD COTTAGE, L.L.C.

Practice address

11308 Blondo St
Omaha, NE 68164-3822

Phone

(402) 491-0400

Fax

(402) 445-2412

NPI assigned

Oct 6, 2011

Organization subpart

No

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

Addresses

Locations

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

{
    "created_epoch": "1317859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317859200000",
    "number": "1821372046",
    "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": "11308 BLONDO ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681643822",
            "telephone_number": "402-491-0400",
            "fax_number": "402-445-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMAHA I BICKFORD COTTAGE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-06",
        "last_updated": "2011-10-06",
        "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": "NE",
            "license": "ALF166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Omaha, NE
• Providers in Omaha, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.