Healthback Home Health of S.W. Missouri, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

735-8HH Issued in MO

Legal business name

HEALTHBACK HOME HEALTH OF S.W. MISSOURI, INC.

Doing business as

HealthBack Home Health of Springfield

Practice address

1304A E Woodhurst Dr
Springfield, MO 65804-4281

Phone

(417) 883-1648

Fax

(417) 885-3977

NPI assigned

May 18, 2011

Last updated

Jun 10, 2020By 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

Other names 1

• HealthBack Home Health of Springfield Doing business as

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 Springfield, LLC

  dba Traditions Health

  • Home Health Agency
  • Springfield, MO
  • NPI 1760128433

  Sold to, 2022-09-09

  CMS change of ownership

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591747200000",
    "number": "1326331786",
    "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": "1304A E WOODHURST DR",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044281",
            "telephone_number": "417-883-1648",
            "fax_number": "417-885-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBACK HOME HEALTH OF S.W. MISSOURI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "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": "735-8HH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBack Home Health of Springfield",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthBack Home Health of Springfield",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Springfield, MO
• Providers in Springfield, 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 Jun 10, 2020; 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.