Organization Active NPI

Buckeye Home Healthcare Inc.

  • Home Health Agency
  • Westerville, OH
National Provider Identifier
1306862404
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Apr 19, 2017

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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, IncCCN 368173
Ownership
Proprietary
Certified
Jan 12, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1052723Buckeye Home Healthcare Inc635 Park Meadow Rd, Westerville, OH 43081Certificate of waiverApr 2, 2028

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Mohamed Aden Ahmed Individual W-2 Managing Employee Sep 9, 2019
Kinzi a Farah Individual 5% Or Greater Direct Ownership InterestCeo Jun 27, 2005 100%
Corporate OfficerCeo 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.

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

Verify at the official NPI Registry.