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Buckeye J, LLC

Buckeye J, LLC is a healthcare organization registered as Skilled Nursing Facility in Jackson, MO, holding Type 2 (organization) NPI 1457342289 since 2005. The authorized official on file is Jay Moskowitz, President.

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NPI 1457342289
Entity type Organization (Type 2)
Legal business name Buckeye J, LLC
Other name <Unavail>
Practice address 710 BROADRIDGE DR, Jackson, MO, 63755
Phone 5732433101
Fax 5732436742
Enumeration date 2005-11-01
Last updated in NPPES 2016-04-25

Authorized official

Name Jay Moskowitz
Title President
Phone 3032383838

Taxonomy & classification

Taxonomy code Specialty Primary License State
314000000X Skilled Nursing Facility Primary 031659 MO

Other identifiers

Identifier Type State Issuer
101456606 Medicaid MO
Copy-ready billing details
Provider: Buckeye J, LLC
NPI: 1457342289
Taxonomy: 314000000X (Skilled Nursing Facility)
Address: 710 BROADRIDGE DR, Jackson, MO, 63755

Providers at this address

NPI Name Type Specialty Location
1447430202 Richel Pingkian Individual Occupational Therapist Jackson, MO
1538470521 Judy Hart Individual Occupational Therapy Assistant Jackson, MO
1730533738 Irene Comstock Individual Gerontology Occupational Therapist Jackson, MO
1689029753 Sarah Fyfe Individual Occupational Therapy Assistant Jackson, MO
1366073496 Tamara Goldrick Individual Clinical Social Worker Jackson, MO
1417662370 Jackson Manor Healthcare, LLC Organization Skilled Nursing Facility Jackson, MO

Verify this record

Cross-check NPI 1457342289 against the authoritative CMS record: view Buckeye J, LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What type of organization is Buckeye J, LLC?
Buckeye J, LLC is registered in NPPES as a Skilled Nursing Facility (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2016-04-25.