Provider Demographics
NPI:1508616525
Name:BUCKEYE STATE HOME HEALTH LLC
Entity Type:Organization
Organization Name:BUCKEYE STATE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:ZEINAB
Authorized Official - Middle Name:ABDULKADIR
Authorized Official - Last Name:GURHAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:614-962-4611
Mailing Address - Street 1:4425 TRINDEL WAY
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-6174
Mailing Address - Country:US
Mailing Address - Phone:614-962-4611
Mailing Address - Fax:
Practice Address - Street 1:4425 TRINDEL WAY
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-6174
Practice Address - Country:US
Practice Address - Phone:614-962-4611
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WH0200XNursing Service ProvidersRegistered NurseHome HealthGroup - Single Specialty