Buckeye Home Health Center, Inc.

Organization Active NPI Oxygen Equipment & Supplies (DME) · McMinnville, TN

NPI 1720456643 · NPPES record last updated May 10, 2021

Key facts

NPI
1720456643
Entity type
Organization (NPI type 2)
Primary specialty
Oxygen Equipment & Supplies (DME) 332BX2000X
License
508 (TN)
Legal business name
BUCKEYE HOME HEALTH CENTER, INC.
Practice address
632 N Chancery St
McMinnville, TN 37110-2080
Phone
(931) 474-2825
Fax
(931) 474-2829
NPI assigned
Sep 9, 2015
Organization subpart
No

Authorized official

Name
Paula J Allred
Title
Vice President
Phone
(931) 879-9926

Other NPIs with the same Medicare PAC ID 9

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 15

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Buckeye Home Health Center Inc
632 N Chancery St, McMinnville, TN 37110-2080 · (931) 474-2825
Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Negative Pressure Wound Therapy Pumps/Supplies|Pneumatic Compression Devices and/or Supplies|Support Surf… Does not accept assignment
Participating since Jan 1, 1998

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TN

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20170405000927 TN DME Supplier - Medical Supply Company With Respiratory Therapist
DME Supplier - Medical Supply Company
DME Supplier - Oxygen & Equipment
9032235619 Practice locations: McMinnville, TN

National Provider Directory

Tax ID family
Buckeye Home Health Center Inc (16 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 508 TN Yes

Addresses

Primary practice location

632 N Chancery St
McMinnville, TN 37110-2080

Mailing address

PO Box 1197
Jamestown, TN 38556-1197
Phone (931) 879-9926

Other identifiers

IdentifierTypeStateIssuer
1454455MedicaidTN

Other providers in McMinnville, TN

All providers in McMinnville, TN · Oxygen Equipment & Supplies (DME) in Tennessee

Sources for this page

Verify at the official NPI Registry.