- Enrollment id
- O20080208000031
- Enrollment state
- OH
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1306862404
- Multiple npi flag
- N
- Ccn
- 368173
- Associate id
- 9133202534
- Organization name
- BUCKEYE HOME HEALTHCARE INC.
- Incorporation date
- 2005-06-27
- Incorporation state
- OH
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 635 PARK MEADOW RD
- Address line 2
- STE 110
- City
- WESTERVILLE
- State
- OH
- Zip code
- 430812877