Provider Demographics
NPI:1306862404
Name:BUCKEYE HOME HEALTHCARE INC.
Entity Type:Organization
Organization Name:BUCKEYE HOME HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KINZI
Authorized Official - Middle Name:A
Authorized Official - Last Name:FARAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-776-3372
Mailing Address - Street 1:635 PARK MEADOW RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2877
Mailing Address - Country:US
Mailing Address - Phone:614-776-3372
Mailing Address - Fax:614-776-3372
Practice Address - Street 1:635 PARK MEADOW RD
Practice Address - Street 2:SUITE 110
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2877
Practice Address - Country:US
Practice Address - Phone:614-776-3372
Practice Address - Fax:614-776-3372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-14
Last Update Date:2017-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH368173Medicare Oscar/Certification