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NPI Code Detail

MEDICARE: BUCKEYE GROUP LLC

MEDICARE: BUCKEYE GROUP 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
1253Z00000XIn Home Supportive Care Agency
2385H00000XRespite Care18-014307-1IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1125315OTHERINVA

General Provider Information

NPI Number : 1356841746
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUCKEYE GROUP LLC
Provider Business Mailing Address
First Line : 941 E 86TH ST STE 250
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46240-1853
Country : US
Telephone Number : 317-800-2685
Fax Number : 317-252-2762
Provider Business Practice Location Address
First Line : 1398 N SHADELAND AVE STE 2203
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46219-3618
Country : US
Telephone Number : 317-800-6285
Fax Number : 317-252-2762
Authorized Official
Title or Position : ONWER
Name : MR. DUANE L SINN
Credential : OWNER
Telephone Number : 317-800-2685
Provider Enumeration Date : 02/13/2018
Last Update Date : 10/16/2025

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Directions to “BUCKEYE GROUP LLC ” Practice Location

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