Organization Active NPI

Buckeye Home Healthcare Services LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1588915144
Registry record updated Aug 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BUCKEYE HOME HEALTHCARE SERVICES LLC
Practice address
1150 Morse Rd Ste 207
Columbus, OH 43229
Phone
(614) 396-6886
Fax
(614) 396-6887
NPI assigned
Sep 24, 2012
Last updated
Aug 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2018

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

Authorized official

Name
Suleiman J Farah
Title
Owner
Phone
(614) 396-6886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

1150 Morse Rd Ste 207
Columbus, OH 43229

Mailing address

1150 Morse Rd Ste 207
Columbus, OH 43229-6327
Phone (614) 396-6886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121127000598 OH Part A Provider - Home Health Agency 0345491213 Practice locations: Columbus, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588915144. Details of each certification follow.

Home health agency certification: CCN 369019

Legal name
BUCKEYE HOME HEALTHCARE SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 6, 2013
Last certification
Mar 20, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1150 Morse Rd
Ste 207
Columbus, OH 43229-6327

Care Compare: Home health agency

Medicare Care Compare
Listed as
Buckeye Home Health Care Services LLCCCN 369019 · All quality measures
Ownership
Proprietary
Certified
Aug 6, 2013
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
36D2055071Buckeye Home Healthcare Services LLC1150 Morse Rd Ste 207, Columbus, OH 43229Certificate of waiverMar 4, 2027

National Provider Directory

National Provider Directory

Locations

1150 Morse Rd
Ste 207
Columbus, OH 43229
Phone (614) 396-6886

5900 Roche Dr
Ste LL28
Columbus, OH 43229
Phone (614) 787-4552

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Suleiman J Farah Individual 5% Or Greater Direct Ownership Interest Sep 21, 2012 100%
W-2 Managing Employee Sep 21, 2012

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535587200000",
    "number": "1588915144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 MORSE RD STE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432296327",
            "telephone_number": "614-396-6886",
            "fax_number": "614-396-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 MORSE RD STE 207",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43229",
            "telephone_number": "614-396-6886",
            "fax_number": "614-396-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE HOME HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2018-08-30",
        "status": "A",
        "authorized_official_last_name": "FARAH",
        "authorized_official_first_name": "SULEIMAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-396-6886"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.