Organization Active NPI

Buckeye State Home Healthcare LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1780039750
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BUCKEYE STATE HOME HEALTHCARE LLC
Practice address
1425 E Dublin Granville Rd Ste 201
Columbus, OH 43229-3312
Phone
(619) 623-1792
NPI assigned
Apr 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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

Authorized official

Name
Mr. Abdikarim M Isse
Title
Manager
Phone
(619) 623-1792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1425 E Dublin Granville Rd Ste 201
Columbus, OH 43229-3312

Mailing address

1425 E Dublin Granville Rd Ste 201
Columbus, OH 43229-3312
Phone (619) 623-1792

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461715200000",
    "number": "1780039750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 E DUBLIN GRANVILLE RD STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293312",
            "telephone_number": "619-623-1792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E DUBLIN GRANVILLE RD STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293312",
            "telephone_number": "619-623-1792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE STATE HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A",
        "authorized_official_last_name": "ISSE",
        "authorized_official_first_name": "ABDIKARIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "619-623-1792",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.