Organization Active NPI

Buckeye Residential Solutions LLC

  • Home Health Agency
  • Ravenna, OH
National Provider Identifier
1023615721
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BUCKEYE RESIDENTIAL SOLUTIONS LLC
Practice address
320 E Main St Ste 301
Ravenna, OH 44266-3102
Phone
(330) 235-9183
Fax
(330) 297-9725
NPI assigned
Oct 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melissa A Ferrell
Title
Comptroller
Phone
(330) 235-9183

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

320 E Main St Ste 301
Ravenna, OH 44266-3102

Mailing address

320 E Main St Ste 301
Ravenna, OH 44266-3102
Phone (330) 235-9183

Other identifiers 1

IdentifierTypeStateIssuer
6703820MedicaidOH

National Provider Directory

National Provider Directory

Locations

320 E Main St
Ste 301
Ravenna, OH 44266
Phone (330) 235-9183

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1023615721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E MAIN ST STE 301",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663102",
            "telephone_number": "330-235-9183",
            "fax_number": "330-297-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E MAIN ST STE 301",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442663102",
            "telephone_number": "330-235-9183",
            "fax_number": "330-297-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE RESIDENTIAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-06",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "FERRELL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "COMPTROLLER",
        "authorized_official_telephone_number": "330-235-9183",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6703820",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ravenna, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.