Provider Demographics
NPI:1720645203
Name:BUCKEYE HOME HEALTH CENTER, INC.
Entity Type:Organization
Organization Name:BUCKEYE HOME HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PERFORMANCE IMPROVEMENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:F
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-752-7123
Mailing Address - Street 1:3332 PEAVINE RD
Mailing Address - Street 2:
Mailing Address - City:CROSSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38571-7905
Mailing Address - Country:US
Mailing Address - Phone:931-202-2248
Mailing Address - Fax:931-202-2305
Practice Address - Street 1:3332 PEAVINE RD
Practice Address - Street 2:
Practice Address - City:CROSSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38571-7905
Practice Address - Country:US
Practice Address - Phone:931-202-2248
Practice Address - Fax:931-202-2305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-21
Last Update Date:2021-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN508OtherSTATE OF TENNESSEE DEPARTMENT OF HEALTH LICENSE