Organization Active NPI

Buckeye Health Agency, LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1962550129
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BUCKEYE HEALTH AGENCY, LLC
Practice address
6040 Cleveland Ave
Columbus, OH 43231-2230
Phone
(614) 899-2478
Fax
(614) 899-2479
NPI assigned
Jan 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Bernard Y KonaduNPI 1346440336
Title
President
Phone
(614) 899-2478

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OH Primary

Addresses

Primary practice location

6040 Cleveland Ave
Columbus, OH 43231-2230

Mailing address

6040 Cleveland Ave
Columbus, OH 43231-2230
Phone (614) 899-2478

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080528000415 OH Part A Provider - Home Health Agency 1052481488 Practice locations: Columbus, OH; Marion, OH

Home health agency certification: CCN 368255

Legal name
BUCKEYE HEALTH AGENCY, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 2009
Last certification
Mar 14, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 2, 2007 in OH
Enrollment address
6040 Cleveland Ave
Columbus, OH 43231-2230

Care Compare: Home health agency

Medicare Care Compare
Listed as
Buckeye Health Agency LLCCCN 368255
Ownership
Proprietary
Certified
Jul 1, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1069633Buckeye Health Agency LLC6040 Cleveland Avenue, Columbus, OH 43231Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

6040 Cleveland Ave
Columbus, OH 43231
Phone (614) 890-7952

5918 Sharon Woods Blvd
Ste 240
Columbus, OH 43229
Phone (614) 899-2478

125 Executive Dr
Ste 105
Marion, OH 43302
Phone (740) 375-5734

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Bernard Y Konadu Individual 5% Or Greater Direct Ownership Interest Nov 14, 2012 100%
W-2 Managing Employee Nov 14, 2012

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1962550129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312230",
            "telephone_number": "614-899-2478",
            "fax_number": "614-899-2479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312230",
            "telephone_number": "614-899-2478",
            "fax_number": "614-899-2479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKEYE HEALTH AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "KONADU",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-899-2478"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.