Active NPI
Buckeye Home Healthcare Inc.
- Home Health Agency
- Westerville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- BUCKEYE HOME HEALTHCARE INC.
- Practice address
- 635 Park Meadow Rd
Suite 110
Westerville, OH 43081-2877 - Phone
- (614) 776-3372
- Fax
- (614) 776-3372
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kinzi A. Farah
- Title
- President
- Phone
- (614) 776-3372
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
635 Park Meadow Rd
Suite 110
Westerville, OH 43081-2877
Mailing address
635 Park Meadow Rd
Suite 110
Westerville, OH 43081-2877
Phone (614) 776-3372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080208000031 | OH | Part A Provider - Home Health Agency | 9133202534 | Practice locations: Westerville, OH |
Home health agency certification: CCN 368173
- Legal name
- BUCKEYE HOME HEALTHCARE INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 12, 2007
- Last certification
- May 10, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Jun 27, 2005 in OH
- Enrollment address
- 635 Park Meadow Rd
Ste 110
Westerville, OH 43081-2877
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Buckeye Home Healthcare, Inc
- Ownership
- Proprietary
- Certified
- Jan 12, 2007
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1052723 | Buckeye Home Healthcare Inc | Certificate of waiver | Apr 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
45 W 2nd St
Ste B
Chillicothe, OH 45601
Phone (740) 773-0305
253 S Paint St
Ste E
Chillicothe, OH 45601
Phone (740) 773-0063
635 Park Meadow Rd
Ste 110
Westerville, OH 43081
Phone (614) 776-3372
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Mohamed Aden Ahmed | W-2 Managing Employee | Sep 9, 2019 | |
| Kinzi a Farah | 5% Or Greater Direct Ownership Interest | Jun 27, 2005 | 100% |
| Corporate Officer | Jun 27, 2005 | 100% |
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse Practitioner
- Chillicothe, OH
- NPI 1699472175
-
- Surgery Physician
- Henderson, NV
- NPI 1841239118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492560000000",
"number": "1306862404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 PARK MEADOW RD",
"address_2": "SUITE 110",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812877",
"telephone_number": "614-776-3372",
"fax_number": "614-776-3372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 PARK MEADOW RD",
"address_2": "SUITE 110",
"city": "WESTERVILLE",
"state": "OH",
"postal_code": "430812877",
"telephone_number": "614-776-3372",
"fax_number": "614-776-3372"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUCKEYE HOME HEALTHCARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2017-04-19",
"status": "A",
"authorized_official_last_name": "FARAH",
"authorized_official_first_name": "KINZI",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "614-776-3372",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westerville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.