Active NPI
Healthback of Central Oklahoma, Inc.
Doing business as HealthBack of Purcell
- Home Health Agency
- Purcell, OK
National Provider Identifier
1417910050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 7434
- Legal business name
- HEALTHBACK OF CENTRAL OKLAHOMA, INC.
- Doing business as
- HealthBack of Purcell
- Practice address
- 519 W Delaware St
Purcell, OK 73080-5242 - Phone
- (405) 527-0027
- Fax
- (405) 527-1423
- NPI assigned
- Apr 6, 2006
- Last updated
- Mar 23, 2015
- 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
- Mr. Michael A. Curtis
- Title
- Cfo
- Phone
- (405) 842-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 7434 | OK | Primary |
Addresses
Primary practice location
519 W Delaware St
Purcell, OK 73080-5242
Mailing address
16211 N May Ave
Edmond, OK 73013-8871
Phone (405) 842-1700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100263010A | Medicaid | OK |
Other names 1
- HealthBack of Purcell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
2600 Arlington St
#B
Ada, OK 74820
Phone (580) 332-4888
2005 W Wrangler Blvd
#B
Seminole, OK 74868
Phone (405) 382-0223
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Sep 9, 2022 | Change of Ownership | Vitalcaring Group Home Health - Purcell |
Change of ownership 1
Medicare changes of ownership in which this facility was the buyer or the seller.
-
dba Traditions Health of Purcell
- Home Health Agency
- Purcell, OK
- NPI 1487390241
Sold to, 2022-09-09
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427068800000",
"number": "1417910050",
"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": "519 W DELAWARE ST",
"city": "PURCELL",
"state": "OK",
"postal_code": "730805242",
"telephone_number": "405-527-0027",
"fax_number": "405-527-1423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHBACK OF CENTRAL OKLAHOMA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-06",
"last_updated": "2015-03-23",
"status": "A",
"authorized_official_last_name": "CURTIS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "405-842-1700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "OK",
"license": "7434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100263010A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "HealthBack of Purcell",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Purcell, OK
- Caroline Gwynn
- Amanda Diane Harrington, LMFT
- Abigail Leigh Harris, MSN, APRN, PMHNP-BC
- Eva Hartley, LADC, LPC (US)
- Marvin Ryan Harvey, MD
- Healthcare Innovation in-Home Services of Purcell, LLC (Elara Caring XXI)
- Healthcare Innovations in-Home Services of Purcell LLC
- Helping Hands Home Care, PLLC
- Mary Elizabeth Henschel, MSW, LCSW
- Hernco Healthcare PC (Herndon Family Dentistiry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.