Gba Holding Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

011445 Issued in TX

Legal business name

GBA HOLDING INC

Doing business as

CenterWell Home Health

Practice address

1928 Lockwood
Tahoka, TX 79373

Phone

(806) 998-5340

Fax

(806) 998-4958

NPI assigned

Mar 22, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Nichols

Title

Authorized Official

Phone

(806) 998-5340

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• CenterWell Home Health Doing business as

Locations

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1770542128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 SPRINT PKWY STE 300",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 LOCKWOOD",
            "city": "TAHOKA",
            "state": "TX",
            "postal_code": "79373",
            "telephone_number": "806-998-5340",
            "fax_number": "806-998-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GBA HOLDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "806-998-5340"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000030",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CenterWell Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Bass, M.S., CCC - SP
• Elizabeth Rozell Capt, MD
• Ashdon Hancock Deleon, CCC-SLP
• Reagan Amber Dobbins
• Cindy S Ford, APRN,FNP-BC
• Shannon R Hammonds, FNP-C
• Kasey Hinton, DPT
• Thad Jones, LPC
• Kaison Kirkland, DPT
• Jess Cole Lees, APRN-CNP

• Home Health Agency in Tahoka, TX
• Providers in Tahoka, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.