Organization Active NPI

Buckeye Adult Daycare, LLC

  • Adult Day Care Clinic/Center
  • Columbus, OH
National Provider Identifier
1790940427
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
2861336 Issued in OH
Legal business name
BUCKEYE ADULT DAYCARE, LLC
Practice address
2643 Northland Plaza Dr
Columbus, OH 43231-4052
Phone
(614) 845-7694
Fax
(614) 882-6296
NPI assigned
Jul 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Mr. Abdiweli M Sheikhdon
Title
Ceo
Phone
(614) 370-8044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 2861336 OH Primary

Addresses

Primary practice location

2643 Northland Plaza Dr
Columbus, OH 43231-4052

Mailing address

2643 Northland Plaza Dr
Columbus, OH 43231-4052
Phone (614) 845-7694

Other practice location 1

2643 Northland Plaza Dr
Columbus, OH 43231-4052
Phone (614) 845-7694

Other identifiers 1

IdentifierTypeStateIssuer
2861336MedicaidOH

National Provider Directory

National Provider Directory

Locations

3278 Morse Rd
Columbus, OH 43231

NPI Registry JSON

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

{
    "created_epoch": "1216684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1790940427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2643 NORTHLAND PLAZA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314052",
            "telephone_number": "614-845-7694",
            "fax_number": "614-882-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2643 NORTHLAND PLAZA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314052",
            "telephone_number": "614-845-7694",
            "fax_number": "614-882-6296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2643 Northland Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432314052",
            "country_code": "US",
            "telephone_number": "614-845-7694",
            "fax_number": "614-882-6296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BUCKEYE ADULT DAYCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-22",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "SHEIKHDON",
        "authorized_official_first_name": "ABDIWELI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-370-8044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OH",
            "license": "2861336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2861336",
            "state": "OH"
        }
    ],
    "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 Jul 31, 2024; 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.