Organization Active NPI

Buckeye Angels Home Care LLC

  • Home Health Agency
  • Middletown, OH
National Provider Identifier
1659003796
Registry record updated Jun 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BUCKEYE ANGELS HOME CARE LLC
Practice address
4487 Marie Dr
Middletown, OH 45044-6249
Phone
(937) 626-1403
NPI assigned
Jun 28, 2022
Last updated
Jun 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2022

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

Authorized official

Name
Mr. Jafar Abushaqra
Title
President
Phone
(937) 626-1403

Specialties & licenses 1

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

Addresses

Primary practice location

4487 Marie Dr
Middletown, OH 45044-6249

Mailing address

4487 Marie Dr
Middletown, OH 45044-6249
Phone (937) 626-1403

National Provider Directory

National Provider Directory

Locations

4487 Marie Dr
Middletown, OH 45044
Phone (937) 626-1403

NPI Registry JSON

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656374400000",
    "number": "1659003796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4487 MARIE DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446249",
            "telephone_number": "937-626-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4487 MARIE DR",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450446249",
            "telephone_number": "937-626-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE ANGELS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A",
        "authorized_official_last_name": "ABUSHAQRA",
        "authorized_official_first_name": "JAFAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-626-1403",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.