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BICKFORD OF MIDDLETOWN, LLC
NPI 1407252661
Assisted Living Facility in Middletown, OH

Active since November 14, 2014CLIA 36D1094425 · Waiver
4375 UNION RD, MIDDLETOWN, OH 45005(937) 550-4911(937) 550-4920 Get Directions Write a Review

NPPES record last updated: November 14, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bickford Of Middletown, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BICKFORD OF MIDDLETOWN, LLC (NPI 1407252661) is a healthcare organization registered as an assisted living facility in Middletown, Ohio and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through January 19, 2027 and lists Alan Fairbanks, Executive Vp, as its authorized official.

NPPES Registry Identity

NPI1407252661
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBICKFORD OF MIDDLETOWN, LLC
Location Address4375 UNION RDMiddletown, OH 45005-5241
Mailing Address13795 S Mur Len Rd, Suite #301Olathe, KS 66062-1675 · (913) 782-3200 · Fax (913) 782-4851
Phone(937) 550-4911
Fax(937) 550-4920
Organization SubpartNo
Authorized OfficialAlan FairbanksExecutive Vp · (913) 782-3200
Enumeration DateNovember 14, 2014
✔ NPI 1407252661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in OH · 2534R
Definition
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.
4375 UNION RD, Middletown, OH 45005
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1094425

Bickford Of Middletown · Middletown, OH
Active · expires Jan 19, 2027
CLIA Number36D1094425
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 20, 2025
Certificate Expiration DateJanuary 19, 2027
Laboratory DirectorStacey Prater
Laboratory Phone(937) 550-4911
Laboratory LocationBickford Of Middletown4375 Union Road, Middletown, OH 45005
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THE INN AT RENAISSANCE VILLAGE LLC
Assisted Living Facility
4375 UNION RD
FRANKLIN, OH 45005
Warren County (937) 550-4911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bickford Of Middletown, LLC's NPI number?

The NPI number for Bickford Of Middletown, LLC is 1407252661. It was assigned to this organization in the NPPES registry on November 14, 2014.

Where is Bickford Of Middletown, LLC located?

Bickford Of Middletown, LLC is located at 4375 Union Rd, Middletown, OH 45005. The listed phone number is (937) 550-4911.

What is Bickford Of Middletown, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Bickford Of Middletown, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1094425) is associated with this NPI, valid through January 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bickford Of Middletown, LLC was last updated on November 14, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.