NPIMap

Organization Active NPI

Buckeye Home Health Center, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Crossville, TN
National Provider Identifier
1720645203
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BUCKEYE HOME HEALTH CENTER, INC.
Practice address
3332 Peavine Rd
Crossville, TN 38571-7905
Phone
(931) 202-2248
Fax
(931) 202-2305
NPI assigned
May 21, 2019
Last updated
May 10, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Lisa F Ramsey
Title
Director of Performance Improvement
Phone
(931) 752-7123

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary
Oxygen Equipment & Supplies (DME) 332BX2000X NU

Addresses

Primary practice location

3332 Peavine Rd
Crossville, TN 38571-7905

Mailing address

3332 Peavine Rd
Crossville, TN 38571-7905
Phone (931) 202-2248

Other identifiers 1

IdentifierTypeStateIssuer
508OtherTNSTATE OF TENNESSEE DEPARTMENT OF HEALTH LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Lisa@buckeyedme.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200401001864 TN DME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Medical Supply Company With Orthotic-ProstheticDME Supplier - Oxygen & Equipment 9032235619 Practice locations: Crossville, TN

Other NPIs with the same Medicare PAC ID 9

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

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.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Buckeye Home Health Center Inc3332 Peavine Rd, Crossville, TN 38571-7905(931) 202-2248 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|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Tractio… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory
Tax ID family
Big South Fork Oxygen and Medical Supplies16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1720645203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 PEAVINE RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385717905",
            "telephone_number": "931-202-2248",
            "fax_number": "931-202-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 PEAVINE RD",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385717905",
            "telephone_number": "931-202-2248",
            "fax_number": "931-202-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE HOME HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "RAMSEY",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "DIRECTOR OF PERFORMANCE IMPROVEMENT",
        "authorized_official_telephone_number": "931-752-7123"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TENNESSEE DEPARTMENT OF HEALTH LICENSE",
            "identifier": "508",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Lisa@buckeyedme.com",
            "affiliation": "N",
            "address_1": "3332 Peavine Rd",
            "city": "Crossville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "385717905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.