Organization Active NPI

Healthback Home Health of N.E. Texas, Inc.

  • Home Health Agency
  • Texarkana, TX
National Provider Identifier
1629307293
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 23, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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

DateEventCounterparty
Aug 7, 2017 Change of OwnershipThis provider was the seller Retreat Health Care Services IncCCN 677439, TX, NPI 1235664533

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

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

Verify at the official NPI Registry.