Provider Demographics
NPI:1275953713
Name:BUCKEYE HOME HEALTHCARE OF CINCINNATI
Entity Type:Organization
Organization Name:BUCKEYE HOME HEALTHCARE OF CINCINNATI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ECKLEY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:937-291-3780
Mailing Address - Street 1:10921 REED HARTMAN HWY STE 310
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2880
Mailing Address - Country:US
Mailing Address - Phone:937-291-3780
Mailing Address - Fax:937-291-3789
Practice Address - Street 1:10921 REED HARTMAN HWY STE 310
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2880
Practice Address - Country:US
Practice Address - Phone:937-291-3780
Practice Address - Fax:937-291-3789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-23
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health