Provider Demographics
NPI:1427232644
Name:BUCKEYE HOMECARE SERVICES INC.
Entity Type:Organization
Organization Name:BUCKEYE HOMECARE SERVICES INC.
Other - Org Name:SAME AS ABOVE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:
Authorized Official - Last Name:RASHID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-321-9300
Mailing Address - Street 1:14077 CEDAR RD STE 103
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3332
Mailing Address - Country:US
Mailing Address - Phone:216-321-9300
Mailing Address - Fax:216-321-9301
Practice Address - Street 1:14077 CEDAR RD STE LL4
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44118-3332
Practice Address - Country:US
Practice Address - Phone:216-321-9300
Practice Address - Fax:216-321-9302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2921600Medicaid