Healthback of NW Oklahoma, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7574 Issued in OK

Legal business name

HEALTHBACK OF NW OKLAHOMA, INC.

Practice address

310 S 4TH St
Suite B
Enid, OK 73701-5804

Phone

(580) 233-4217

Fax

(580) 233-3924

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 Enid Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 Enid, LLC

  • Home Health Agency
  • Enid, OK
  • NPI 1255077020

  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": "1427068800000",
    "number": "1962465591",
    "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": "310 S 4TH ST",
            "address_2": "SUITE B",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015804",
            "telephone_number": "580-233-4217",
            "fax_number": "580-233-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHBACK OF NW OKLAHOMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-06",
        "last_updated": "2015-03-23",
        "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": "7574",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262830A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealthBack of Enid",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marta Lee Haworth
• Shelby Patricia Hayes
• Lawana Kay Haynes Butler, BS
• Terrance Lamont Haynes
• Health Link Mobile X-Ray LLC
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• Heartquest Salon & Wig Studio LTD Co.
• Alyssa Heitkamp, PHYSICIAN ASSISTANT
• Brittani Helterbrake
• Brett Elliott Hemstreet, PH.D.

• Home Health Agency in Enid, OK
• Providers in Enid, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.