Healthback of SE Oklahoma, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7192 Issued in OK

Legal business name

HEALTHBACK OF SE OKLAHOMA, INC.

Doing business as

HealthBack of McAlester

Practice address

1102 E Washington Ave
McAlester, OK 74501-4920

Phone

(918) 423-2034

Fax

(918) 423-1424

NPI assigned

Apr 6, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• HealthBack of McAlester Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Healthback of Central Oklahoma, Inc.

  dba HealthBack of Purcell

  • Home Health Agency
  • Purcell, OK
  • NPI 1417910050

  Member Of

  NPD member

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 SE Oklahoma, LLC

  dba Traditions Health of SE Oklahoma

  • Home Health Agency
  • McAlester, OK
  • NPI 1962148742

  Sold to, 2022-09-09

  CMS change of ownership

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1629031257",
    "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": "1102 E WASHINGTON AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014920",
            "telephone_number": "918-423-2034",
            "fax_number": "918-423-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBACK OF SE OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-03-20",
        "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": "7192",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100261040K",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBack of McAlester",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Hayes
• John Martin Hayes, MD
• Donna Kay Haynes, BA; BHRS
• Nicole Kay Hays, OTR/L
• Lisa Hazelwood
• Amber Dawn Hearn, MSPS, LPC, RPT
• Amy Jean Hearod Kline, BA
• Kelsey Renea Hearod
• Pamela Renea Hearod, M.ED
• Heartland Hospice Services LLC (Heartland Hospice Services)

• Home Health Agency in McAlester, OK
• Providers in McAlester, 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 Mar 20, 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.

Verify at the official NPI Registry.