OrganizationActive
Buckeye Community Services, Inc
NPI 1568610764 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Logan, OH
Provider details
- NPI number
- 1568610764
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Mackenize Shaw, Business Office Manager(740) 286-5039
- License
- 3710032 (OH)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 3710032 (OH)
Residential Treatment Facilities
Practice location
125 Warner Ave
Logan, OH 43138-1570
Phone: (740) 385-9279
Fax: (740) 286-8775
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 604
Jackson, OH 45640-0604
Other names (DBA / former)
- Other name
- Buckeye Community Services, Warner Home
Registry dates
- Enumerated
- 2008-09-03
- Last updated
- 2024-04-24
- Certified
- 2024-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.