Provider Demographics
NPI:1356841746
Name:BUCKEYE GROUP LLC
Entity Type:Organization
Organization Name:BUCKEYE GROUP LLC
Other - Org Name:HOME INSTEAD SENIOR CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:MR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SINN
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:317-800-2685
Mailing Address - Street 1:941 E 86TH ST STE 250
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1853
Mailing Address - Country:US
Mailing Address - Phone:317-800-2685
Mailing Address - Fax:317-252-2762
Practice Address - Street 1:1311 N ARLINGTON AVE STE 210
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46219-3260
Practice Address - Country:US
Practice Address - Phone:317-800-6285
Practice Address - Fax:317-252-2762
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-13
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
253Z00000X
IN18-014307-1385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN125315OtherVA