Buckeye Home Health Care LLC
Organization Active NPI Home Health Agency · Dayton, OH
NPI 1699879601 · NPPES record last updated Sep 12, 2024
Key facts
- NPI
- 1699879601
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- BUCKEYE HOME HEALTH CARE LLC
- Practice address
- 7750 Paragon Rd
Dayton, OH 45459-4050 - Phone
- (937) 291-3780
- NPI assigned
- Sep 11, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Tammy Turnmire, RN
- Title
- Compliance Officer
- Phone
- (937) 291-3780
Facilities with the same owner 6
Practitioners 1
-
D.E. Lawrence, PT
Affiliated clinicians 62
-
Coca Anghelache, CNP
-
Mackenzie Baker, PA
-
Ryan D Bauman, M.D.
-
Amy N Bennett, DO
-
Susan Elaine Berner, M.D.
-
Craig L Bierer, D.O.
-
Paul Brammer, MD
-
Leonard Joseph Cooley, DNP, APNP, FNP-BC
-
Joseph D. Dicicco III, D. O.
-
Sarah E Dooley, P.A.
-
Kurt Andrew Fleagle, M.D.
-
Jacinta K Ford, PA-C
-
Jeffrey B Gleick, MD
-
Tyler Hall, APRN
-
Aaron Patrick Hanshaw, D.O.
-
Sandra Kelly Hoke, FNP-BC
Medicare Care Compare: Home health agency
- Listed as
- Buckeye Home Health Care, LLC
- Overall star rating
- ★★★★★ 4.5 of 5
- Ownership
- Proprietary
- Certified
- Jul 23, 2007
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1062302 | Buckeye Home Health Care | Certificate of waiver | Dec 11, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Home health agency certification: CCN 368197
- Legal name
- BUCKEYE HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 23, 2007
- Last certification
- Feb 7, 2019
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 7750 Paragon Road
Dayton, OH 45459-4050
All disclosed owners & managing parties 5
| Name | Role | Since | Share |
|---|---|---|---|
| Tina M Hardwick |
5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 25% |
| General Partnership Interest | Aug 14, 2006 | ||
| Corporate Director | Aug 14, 2006 | ||
| W-2 Managing Employee | Jun 14, 2006 | ||
| The LTM Group LLC |
5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | |
| Operational/Managerial Control | Jan 1, 2014 | ||
| Donald Edward Lawrence |
5% Or Greater Direct Ownership Interest | Aug 14, 2006 | |
| 5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 25% | |
| General Partnership Interest | Aug 14, 2006 | ||
| Corporate Director | Aug 14, 2006 | ||
| Tammy Turnmire |
W-2 Managing Employee |
Oct 9, 2019 | |
| Lisa Eckley |
5% Or Greater Indirect Ownership Interest | Jan 1, 2014 | 25% |
| General Partnership Interest | Aug 14, 2006 | ||
| Corporate Director | Aug 14, 2006 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071017000733 | OH | Part a Provider - Home Health Agency | 0143316497 | Practice locations: Dayton, OH |
National Provider Directory
Locations
305 Regency Ridge Dr
Dayton, OH 45459
Phone (937) 545-5306
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | OH | Yes |
Addresses
Primary practice location
7750 Paragon Rd
Dayton, OH 45459-4050
Mailing address
7750 Paragon Rd
Dayton, OH 45459-4050
Phone (937) 291-3780
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2799146 | Medicaid | OH |
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.