Active NPI
Retreat Health Care Services Inc.
- Home Health Agency
- Texarkana, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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
- LLC
- 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 Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 22, 1991
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology, Occupational therapy
Care Compare: Hospice
Medicare Care Compare- Listed as
- Retreat Health Care Services Inc
- Ownership
- For-Profit
- Certified
- Jan 13, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Rickey W Riebesell | 5% Or Greater Direct Ownership Interest | Aug 7, 2017 | 100% |
| Corporate Officer | Aug 7, 2017 | ||
| W-2 Managing Employee | Aug 7, 2017 | ||
| 5% Or Greater Direct Ownership Interest | Aug 7, 2017 | 100% | |
| Corporate Officer | Aug 7, 2017 | 100% | |
| W-2 Managing Employee | Aug 7, 2017 | 100% | |
| Russell E Mayo | Corporate 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
| Date | Event | Counterparty |
|---|---|---|
| Aug 7, 2017 | Change of Ownership | Healthback Home Health of NE Texas, Inc. |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
- Home Health Agency
- Texarkana, TX
- NPI 1629307293
Acquired from, 2017-08-07
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.
-
- Gerontology Nurse Practitioner
- Nashville, AR
- NPI 1184929622
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.