BICKFORD HOME CARE OF WESTERN SUBURBS, LLC
NPI 1043975204
Home Health in St Charles, IL
- Organization
- Home Health
- CLIA Number: 14D2051420
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 12-17-2026
About BICKFORD HOME CARE OF WESTERN SUBURBS, LLC
This page provides the complete NPI Profile along with additional information for Bickford Home Care Of Western Suburbs, Llc, a provider established in St Charles, Illinois operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1043975204 assigned on November 2021. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Alan Fairbanks (Executive Vp Of Ops)
- NPI
- 1043975204 Verify this NPI
- Provider Name
- BICKFORD HOME CARE OF WESTERN SUBURBS, LLC
- Entity Type
- Organization
- Location Address
- 40W304 LAFOX RD UNIT B ST CHARLES, IL 60175
- Location Phone
- (913) 782-3200
- Mailing Address
- 13795 S MUR LEN RD STE 301 OLATHE, KS 66062
- Mailing Phone
- (614) 846-6500
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-03-2021
- Last Update Date
- 11-03-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- Taxonomy Description
- A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D2051420
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- December 18, 2024
- Certificate Expiration Date
- December 17, 2026
- Laboratory Director
- AMY L. SIMON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bickford Home Care Of Western Suburbs, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1043975204, enumerated as an "organization" on November 03, 2021.
The provider is located at 40W304 LAFOX RD UNIT B ST CHARLES, IL 60175 and the phone number is (913) 782-3200.
Home Health with taxonomy code 251E00000X.
