Healthback of Western Oklahoma, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7006 Issued in OK

Legal business name

HEALTHBACK OF WESTERN OKLAHOMA, INC.

Practice address

420 S 22ND St
Chickasha, OK 73018-2752

Phone

(405) 224-3366

Fax

(405) 224-3362

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Michael A. Curtis

Title

Cfo

Phone

(405) 842-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HealthBack of Chickasha Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Healthback Home Health, Inc.

  • Home Health Agency
  • Edmond, OK
  • NPI 1558324111

  Member Of

  NPD member

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Traditions Health Care of Chickasha, LLC

  • Home Health Agency
  • Chickasha, OK
  • NPI 1093451882

  Sold to, 2022-09-09

  CMS change of ownership

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1043273634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16211 N MAY AVE",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138871",
            "telephone_number": "405-842-1700",
            "fax_number": "405-767-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S 22ND ST",
            "city": "CHICKASHA",
            "state": "OK",
            "postal_code": "730182752",
            "telephone_number": "405-224-3366",
            "fax_number": "405-224-3362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBACK OF WESTERN OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "405-842-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100848530A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBack of Chickasha",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Virginia L Harr, MD
• Jerrus Harris, FNP-C
• Starla Ranee Harris, NP-C
• Judith Ann Harwell
• Raven Danielle Hayworth
• Healthcare Stat
• Alecia Heath
• Johnathan Gregory Heim, PHARMD
• Karen Kay Heltcel
• Ruth Ann Helton, L.P.C., L.A.D.C. MS

• Home Health Agency in Chickasha, OK
• Providers in Chickasha, OK by specialty
• Home Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.