Provider Demographics
NPI:1063101046
Name:BICKFORD HOME CARE OF SIOUX CITY
Entity type:Organization
Organization Name:BICKFORD HOME CARE OF SIOUX CITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS PRECEIVABLE
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-254-2234
Mailing Address - Street 1:13795 S MUR LEN RD STE 301
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1096
Mailing Address - Country:US
Mailing Address - Phone:913-254-2234
Mailing Address - Fax:913-254-4836
Practice Address - Street 1:310 W 28TH ST
Practice Address - Street 2:
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-4036
Practice Address - Country:US
Practice Address - Phone:913-254-2234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health