Organization Active NPI

Retreat Health Care Services Inc.

  • Home Health Agency
  • Texarkana, TX
National Provider Identifier
1235664533
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RETREAT HEALTH CARE SERVICES INC.
Practice address
4321 McKnight Rd
Texarkana, TX 75503-0929
Phone
(903) 793-0282
Fax
(903) 221-0302
NPI assigned
Apr 24, 2017
Last updated
May 8, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Authorized official

Name
Rickey W Riebesell
Title
President
Phone
(903) 793-0282

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Home Infusion Agency 251F00000X NU
Community Based Hospice Care Agency 251G00000X NU
Inpatient Hospice 315D00000X NU
Respite Care 385H00000X NU

Addresses

Primary practice location

4321 McKnight Rd
Texarkana, TX 75503-0929

Mailing address

4321 McKnight Rd
Texarkana, TX 75503-0929
Phone (903) 793-0282

Other practice location 1

210 N Kenwood Rd
Texarkana, TX 75501-2928
Phone (903) 336-6134

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20171023002544 TX Part A Provider - Home Health Agency 7012283815 Practice locations: Texarkana, TX
O20200717001630 TX Part A Provider - Hospice 7012283815 Practice locations: Texarkana, TX

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1235664533. Details of each certification follow.

Home health agency certification: CCN 677439

Legal name
RETREAT HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 22, 1991
Last certification
Oct 7, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 11, 2017 in TX
Enrollment address
4321 McKnight Rd
Texarkana, TX 75503-0929

Hospice certification: CCN 971618

Legal name
RETREAT HEALTH CARE SERVICES INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 13, 2021
Last certification
Jan 13, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Apr 11, 2017 in TX
Enrollment address
4321 McKnight Rd
Texarkana, TX 75503-0929

Care Compare: Home health agency

Medicare Care Compare
Listed as
Retreat Health Care Services IncCCN 677439 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 22, 1991
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

Care Compare: Hospice

Medicare Care Compare
Listed as
Retreat Health Care Services IncCCN 971618 · All quality measures
Ownership
For-Profit
Certified
Jan 13, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2501 Summerhill Rd
Texarkana, TX 75501
Phone (903) 793-0282

4321 McKnight Rd
Texarkana, TX 75503
Phone (903) 793-0282

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Rickey W Riebesell Individual 5% Or Greater Direct Ownership Interest Aug 7, 2017 100%
Corporate OfficerPresident Aug 7, 2017
W-2 Managing Employee Aug 7, 2017
5% Or Greater Direct Ownership InterestPresident Aug 7, 2017 100%
Corporate OfficerPresident Aug 7, 2017 100%
W-2 Managing EmployeeAd;President Aug 7, 2017 100%
Russell E Mayo Individual Corporate DirectorMedical Director Jul 1, 2022

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Change-of-ownership history 1

DateEventCounterparty
Aug 7, 2017 Change of OwnershipThis provider was the buyer Healthback Home Health of NE Texas, Inc.CCN 677439, TX, NPI 1629307293

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746662400000",
    "number": "1235664533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030929",
            "telephone_number": "903-793-0282",
            "fax_number": "903-793-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 MCKNIGHT RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030929",
            "telephone_number": "903-793-0282",
            "fax_number": "903-221-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 N Kenwood Rd",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755012928",
            "country_code": "US",
            "telephone_number": "903-336-6134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RETREAT HEALTH CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A",
        "authorized_official_last_name": "RIEBESELL",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "903-793-0282"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.