Active NPI
Healthback Home Health of N.E. Texas, Inc.
- Home Health Agency
- Texarkana, TX
National Provider Identifier
1629307293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEALTHBACK HOME HEALTH OF N.E. TEXAS, INC.
- Practice address
- 2501 Summerhill Rd
Texarkana, TX 75501-3568 - Phone
- (903) 793-0282
- Fax
- (903) 793-2586
- NPI assigned
- Dec 10, 2009
- 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
- Ms. Christy W. Evans
- Title
- Ceo
- Phone
- (405) 842-1700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2501 Summerhill Rd
Texarkana, TX 75501-3568
Mailing address
16211 N May Ave
Edmond, OK 73013-8871
Phone (405) 842-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
2605 Texas Blvd
Texarkana, TX 75503
Phone (903) 793-0282
2501 Summerhill Rd
Texarkana, TX 75501
Phone (903) 793-0282
Ownership & related parties
Change-of-ownership history 1
| Date | Event | Counterparty |
|---|---|---|
| Aug 7, 2017 | Change of Ownership | Retreat Health Care Services 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 1235664533
Sold to, 2017-08-07
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1427068800000",
"number": "1629307293",
"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": "2501 SUMMERHILL RD",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755013568",
"telephone_number": "903-793-0282",
"fax_number": "903-793-2586"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTHBACK HOME HEALTH OF N.E. TEXAS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-12-10",
"last_updated": "2015-03-23",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "CHRISTY",
"authorized_official_middle_name": "W.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "405-842-1700",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"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 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.