Healthback Home Health of Missouri, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

587-11HH Issued in MO

Legal business name

HEALTHBACK HOME HEALTH OF MISSOURI, INC.

Practice address

1520 E 23Rd St
Suite R
Independence, MO 64055-1600

Phone

(816) 350-2600

Fax

(816) 350-2865

NPI assigned

Apr 20, 2009

Last updated

Sep 9, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Troy L. Ayers

Title

Chief Financial Officer

Phone

(405) 842-1700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 Independence, LLC

  dba Traditions Health

  • Home Health Agency
  • Independence, MO
  • NPI 1063158731

  Sold to, 2022-09-09

  CMS change of ownership

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1144463266",
    "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": "1520 E 23RD ST",
            "address_2": "SUITE R",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640551600",
            "telephone_number": "816-350-2600",
            "fax_number": "816-350-2865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBACK HOME HEALTH OF MISSOURI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "AYERS",
        "authorized_official_first_name": "TROY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "405-842-1700",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MO",
            "license": "587-11HH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Independence, MO
• Providers in Independence, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.