Buckeye M, LLC
Buckeye M, LLC is a healthcare organization registered as Skilled Nursing Facility in Boulder, CO, holding Type 2 (organization) NPI 1689665119 since 2005. The authorized official on file is Jay Moskowitz, President.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1689665119 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Buckeye M, LLC |
| Other name | <Unavail> |
| Practice address | 2121 MESA DR, Boulder, CO, 80304 |
| Phone | 3034424037 |
| Fax | 3034422348 |
| Enumeration date | 2005-11-03 |
| 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 | 0638 | CO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05656400 | Medicaid | CO | — |
Copy-ready billing details
Provider: Buckeye M, LLC NPI: 1689665119 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 2121 MESA DR, Boulder, CO, 80304
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1053515676 | Rosemary Hegarty | Individual | Physical Therapist | Boulder, CO |
| 1295939841 | Richard Chubbs | Individual | Physical Therapy Assistant | Boulder, CO |
| 1598960163 | Carol Myers | Individual | Occupational Therapist | Boulder, CO |
| 1124223524 | Matthew Shea | Individual | Physical Therapist | Boulder, CO |
| 1386838985 | Afsaneh Harris | Individual | Physical Therapist | Boulder, CO |
| 1255569638 | Mark Chan | Individual | Physical Medicine & Rehabilitation Physician | Boulder, CO |
| 1891149167 | Anthony Diongzon | Individual | Physical Therapy Assistant | Boulder, CO |
| 1346782661 | Rebecca Drake | Individual | Speech-Language Pathologist | Boulder, CO |
Verify this record
Cross-check NPI 1689665119 against the authoritative CMS record: view Buckeye M, 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
How current is this record?
Where is Buckeye M, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-04-25.