# BICKFORD HOME CARE OF NORTHWEST SUBURBS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235894494
- **Authorized official:** MR. ALAN FAIRBANKS (EXECUTIVE VP OF OPS)
- **Authorized official phone:** (913) 782-3200

## Contact information

- **Practice address:** 820 E TERRA COTTA AVE STE 232, CRYSTAL LAKE, IL 60014-3655
- **Practice address phone:** (913) 782-3200
- **Mailing address:** 13795 S MUR LEN RD STE 301, OLATHE, KS 66062-1096
- **Mailing address phone:** (614) 846-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/03/2021
- **Last updated:** 11/03/2021