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BICKFORD OF MIDDLETOWN LLC NPI 1407252661


NPI Information

NPI: 1407252661
Provider Name: BICKFORD OF MIDDLETOWN, LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 36D1094425

Address:
4375 UNION RD
MIDDLETOWN, OH
ZIP 45005
Phone: (937) 550-4911
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BICKFORD OF MIDDLETOWN, LLC is an assisted living facility in Middletown, OH. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. BICKFORD OF MIDDLETOWN, LLC NPI is 1407252661. The provider is registered as an organization entity type.

The provider's business location address is:

4375 UNION RD
MIDDLETOWN, OH
ZIP 45005-241
Phone: (937) 550-4911
Fax: (937) 550-4920

The provider's authorized official is Alan Fairbanks .
The authorized official title is Executive Vp and has the following contact phone number (913) 782-3200.

The CLIA number assigned to this NPI record is 36D1094425 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2014 and was last updated on 11/14/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility2534ROHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.