MEDICARE: BUCKEYE HOME HELPERS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1073763280
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUCKEYE HOME HELPERS LLC

Provider Business Mailing Address
First Line	:	P. O. BOX 11663
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43211
Country	:	US
Telephone Number	:	614-846-8222
Fax Number	:	614-846-9450

Provider Business Practice Location Address
First Line	:	1150 MORSE RD
Second Line	:	SUITE # 324
City	:	COLUMBUS
State	:	OH
Zip	:	43229-6327
Country	:	US
Telephone Number	:	614-846-8222
Fax Number	:	614-846-9450

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MOHAMED OSMAN
Credential	:
Telephone Number	:	614-846-8222

Provider Enumeration Date	:	09/24/2008
Last Update Date	:	09/24/2008

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Directions to “BUCKEYE HOME HELPERS LLC ” Practice Location

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