Organization Active NPI

Buckeye Diversity LLC

  • In Home Supportive Care Agency
  • Grove City, OH
National Provider Identifier
1639539406
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BUCKEYE DIVERSITY LLC
Practice address
3923 Orchard LN
Grove City, OH 43123-2731
Phone
(614) 461-3050
Fax
(301) 718-0604
NPI assigned
Mar 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Gegory Bucher
Title
Owner
Phone
(513) 544-8098

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Nursing Care Agency 251J00000X
Community/Behavioral Health Agency 251S00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3923 Orchard LN
Grove City, OH 43123-2731

Mailing address

3923 Orchard LN
Grove City, OH 43123-2731
Phone (614) 461-3050

Other identifiers 1

IdentifierTypeStateIssuer
3152207MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1639539406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 ORCHARD LN",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232731",
            "telephone_number": "614-461-3050",
            "fax_number": "301-718-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 ORCHARD LN",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232731",
            "telephone_number": "614-461-3050",
            "fax_number": "301-718-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE DIVERSITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "BUCHER",
        "authorized_official_first_name": "GEGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-544-8098"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3152207",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grove City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.