Provider Demographics
NPI:1063638708
Name:BUCKEYES HOME HEALTH CARE OF OHIO
Entity Type:Organization
Organization Name:BUCKEYES HOME HEALTH CARE OF OHIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:HASHIM
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ABDULLE
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:614-989-9914
Mailing Address - Street 1:1060 MOUNT VERNON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43203-1518
Mailing Address - Country:US
Mailing Address - Phone:614-989-9914
Mailing Address - Fax:
Practice Address - Street 1:1060 MOUNT VERNON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43203-1518
Practice Address - Country:US
Practice Address - Phone:614-989-9914
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health