WABASH BICKFORD COTTAGE LLC NPI 1477937951

NPI Information

  • NPI: 1477937951
  • Provider Name: WABASH BICKFORD COTTAGE, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 15D1053285
  • Address: 3037 W DIVISION RD
    WABASH, IN
    ZIP 46992
  • Phone: (260) 569-2000

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NPI Details

WABASH BICKFORD COTTAGE, LLC is an assisted living facility in Wabash, IN. 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. WABASH BICKFORD COTTAGE, LLC NPI is 1477937951. The provider is registered as an organization entity type.

The provider's business location address is:

3037 W DIVISION RD
WABASH, IN
ZIP 46992-477
Phone: (260) 569-2000
Fax: (260) 569-6759

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 15D1053285 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/15/2015.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility15-003466-1INDIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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