Healthback Home Health of Eastern Oklahoma, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7164 Issued in OK

Legal business name

HEALTHBACK HOME HEALTH OF EASTERN OKLAHOMA, INC.

Doing business as

HealthBack Home Health of Stigler

Practice address

401 W Main Street
Stigler, OK 74462-2331

Phone

(918) 967-8095

Fax

(918) 967-0071

NPI assigned

Jul 6, 2010

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 identifiers 1

Other names 1

• HealthBack Home Health of Stigler Doing business as

Locations

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1386956456",
    "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": "401 W MAIN STREET",
            "city": "STIGLER",
            "state": "OK",
            "postal_code": "744622331",
            "telephone_number": "918-967-8095",
            "fax_number": "918-967-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBACK HOME HEALTH OF EASTERN OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "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": "OK",
            "license": "7164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100700850F",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBack Home Health of Stigler",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HealthBack Home Health of Stigler",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Agency in Stigler, OK
• Providers in Stigler, 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 Nov 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.