OMAHA I BICKFORD COTTAGE, L.L.C.
NPI 1821372046
Assisted Living Facility in Omaha, NE

Active since October 06, 2011CLIA 28D0994776 · Waiver
11308 BLONDO ST, OMAHA, NE 68164(402) 491-0400(402) 445-2412 Get Directions Write a Review

NPPES record last updated: October 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Omaha I Bickford Cottage, L.l.c. NPPES

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

OMAHA I BICKFORD COTTAGE, L.L.C. (NPI 1821372046) is a healthcare organization registered as an assisted living facility in Omaha, Nebraska and active in the NPI registry since October 2011. The organization holds a CLIA Waiver certificate valid through December 30, 2027 and lists Alan Fairbanks, Executive Vp, as its authorized official.

NPPES Registry Identity

NPI1821372046
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameOMAHA I BICKFORD COTTAGE, L.L.C.
Location Address11308 BLONDO STOmaha, NE 68164-3822
Mailing Address13795 S Mur Len Rd, Suite #301Olathe, KS 66062-1675 · (913) 782-3200 · Fax (913) 782-4851
Fax(402) 445-2412
Organization SubpartNo
Authorized OfficialAlan FairbanksExecutive Vp · (913) 782-3200
Enumeration DateOctober 6, 2011
NPI 1821372046 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 NE · ALF166
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.
11308 BLONDO ST, Omaha, NE 68164

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 28D0994776

Omaha 1 Bickford Cottage Assisted Living Facility · Omaha, NE
Active · expires Dec 30, 2027
CLIA Number28D0994776
Laboratory TypeOther
Certificate Effective DateDecember 31, 2025
Certificate Expiration DateDecember 30, 2027
Laboratory DirectorKathleen Harmon
Laboratory Phone(402) 491-0400
Laboratory LocationOmaha 1 Bickford Cottage Assisted Living Facility11308 Blondo Street, Omaha, NE 68164
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Omaha I Bickford Cottage, L.L.C.'s NPI number?

The NPI number for Omaha I Bickford Cottage, L.L.C. is 1821372046. It was assigned to this organization in the NPPES registry on October 6, 2011.

Where is Omaha I Bickford Cottage, L.L.C. located?

Omaha I Bickford Cottage, L.L.C. is located at 11308 Blondo St, Omaha, NE 68164. The listed phone number is (402) 491-0400.

What is Omaha I Bickford Cottage, L.L.C.'s specialty?

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

Does Omaha I Bickford Cottage, L.L.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D0994776) is associated with this NPI, valid through December 30, 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 Omaha I Bickford Cottage, L.L.C. was last updated on October 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.