MEDICARE: BUCKEYE HOSPICE CARE 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	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1568190593
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BUCKEYE HOSPICE CARE LLC

Provider Business Mailing Address
First Line	:	30107 LORAIN ROAD
Second Line	:	SUITE C
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070
Country	:	US
Telephone Number	:	440-377-6037
Fax Number	:	440-377-6047

Provider Business Practice Location Address
First Line	:	30701 LORAIN RD STE C
Second Line	:
City	:	NORTH OLMSTED
State	:	OH
Zip	:	44070-6325
Country	:	US
Telephone Number	:	440-377-6037
Fax Number	:	440-377-6047

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JESSICA IORIO
Credential	:
Telephone Number	:	440-377-6037

Provider Enumeration Date	:	08/09/2022
Last Update Date	:	05/26/2026

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