MEDICARE: BICKFORD HOME CARE OF LINN & JOHNSON COUNTIES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1215692470
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BICKFORD HOME CARE OF LINN & JOHNSON COUNTIES, LLC

Provider Business Mailing Address
First Line	:	13795 S MUR LEN RD STE 301
Second Line	:
City	:	OLATHE
State	:	KS
Zip	:	66062-1096
Country	:	US
Telephone Number	:	614-846-6500
Fax Number	:

Provider Business Practice Location Address
First Line	:	1210 S GILBERT ST STE 104
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52240-4557
Country	:	US
Telephone Number	:	913-782-3200
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE VP OF OPS
Name	:	MR. ALAN FAIRBANKS
Credential	:
Telephone Number	:	913-782-3200

Provider Enumeration Date	:	11/03/2021
Last Update Date	:	03/01/2024

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