Healthcare Provider Details

I. General information

NPI: 1235207135
Provider Name (Legal Business Name): BUCKEYE HOME HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2006
Last Update Date: 03/01/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1565 BETHEL ROAD SUITE 100
COLUMBUS OH
43220
US

IV. Provider business mailing address

1565 BETHEL ROAD SUITE 100
COLUMBUS OH
43220
US

V. Phone/Fax

Practice location:
  • Phone: 614-781-0357
  • Fax: 614-781-0389
Mailing address:
  • Phone: 614-781-0357
  • Fax: 614-781-0389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MS. LYNN ANN BRUCE
Title or Position: CEO/ADMINISTRATOR
Credential:
Phone: 614-781-0357