Healthback of Central Oklahoma, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALTHBACK OF CENTRAL OKLAHOMA, INC.

Practice address

111 Patton Dr
Suite a
Ponca City, OK 74601-2046

Phone

(580) 762-5800

Fax

(580) 762-5804

NPI assigned

Jul 11, 2008

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• HealthBack Home Health of Ponca City Doing business as

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Home health agency certification: CCN 377538

Legal name

HEALTHBACK OF CENTRAL OKLAHOMA, INC.

Doing business as

HEALTHBACK HOME HEALTH OF PONCA CITY

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 11, 1996

Last certification

Feb 19, 2020

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Apr 5, 2002 in OK

Enrollment address

206 S Main St
Ste B
Stillwater, OK 74074-3578

Listed as

Traditions Health of Ponca CityCCN 377538

Overall star rating

4.5 of 5

Ownership

Proprietary

Certified

Jul 11, 1996

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 8

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Healthback Home Health of Kansas, Inc.

  • Home Health Agency
  • Wichita, KS
  • NPI 1366732950

  Healthback Holdings, LLC, Wilson Ayers Trust, Wilson Evans Trust

  CMS ownership

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Christen Denise Ground, D.O.

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1689021842

  Home health agency

  Care Compare affiliation
• Aaron Paul Wilcox, D.O.

  • Family Medicine Physician
  • Ponca City, OK
  • NPI 1518195221

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1750545554",
    "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": "111 PATTON DR",
            "address_2": "SUITE A",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746012046",
            "telephone_number": "580-762-5800",
            "fax_number": "580-762-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBACK OF CENTRAL OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200095690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBack Home Health of Ponca City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Harrison
• Julia Hays
• Lorrie Hazard, B.S., B.H.R.S.
• Quailla Marrianne Hazen
• Healing Heart and Mind Counseling, LLC
• Heartland Hearing Aid Center
• Roberta Heath, BHRS
• Jessica Marie Helm, COTA/L
• Tara Hembree
• Tim Henslee, COTA

• Home Health Agency in Ponca City, OK
• Providers in Ponca City, 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 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.