HEALTHBACK OF SOUTHERN OKLAHOMA, INC. (NPI# 1144283730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144283730 |
| Entity Type | Organization |
| Organization Name | HEALTHBACK OF SOUTHERN OKLAHOMA, INC. |
| Other Organization Name | HEALTHBACK OF IDABEL |
| Practice Address |
900 Se Washington St Idabel OK 74745-3334 |
| Mailing Address |
16211 N May Ave Edmond OK 73013-8871 |
| Practice Telephone | 5802866541 |
| Practice Fax Number | 5802867976 |
| Mailing Telephone | 4058421700 |
| Mailing Fax Number | 4057671695 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2015-04-17 |
| Authorized Official Name | MR. MICHAEL A. CURTIS (CFO) |
| Authorized Official Telephone | 4058421700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 7752 | OK | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200022630A | 05 |
| Other Name | Type Code |
|---|---|
| HealthBack of Idabel | Doing Business As Name - Organization |
| Street Address |
900 SE WASHINGTON ST |
| City | IDABEL |
| State | OK |
| Zip Code | 74745-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568957348 | Home Run Healthcare | Family Medicine | 1425 East Lincoln Road, Suite A-3, Idabel, OK 74745 | 2018-06-25 |
| 1720457203 | Leann Tomlinson | Registered Nurse | 2002 E Lincoln Rd, Idabel, OK 74745 | 2015-09-15 |
| 1659795508 | Laura Rush | Optometrist | 902 Lincoln Road, Idabel, OK 74745 | 2014-02-13 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1922440999 | John Phillip Stone Scoggin | Counselor | 111 Canterbury Lane, Idabel, OK 74745 | 2013-07-19 |
| 1841576725 | Ayesha Shante Wyatt | Nurse's Aide | 1800 Hillcrest, Idabel, OK 74745 | 2011-10-24 |
| 1154569457 | Southern Oklahoma Treatment Services, Inc. | Community/Behavioral Health | 6 Southeast Avenue A, Idabel, OK 74745 | 2009-01-26 |
| 1417103854 | John Hoskins | Internal Medicine | 902 Lincoln Rd, Choctaw Nation Health Clinic, Idabel, OK 74745 | 2008-08-18 |
| 1801077045 | Rhonda Cheryl Rodgers | Counselor | 104 Ne Ave A, Idabel, OK 74745 | 2007-11-15 |
| 1326241548 | Beverly Gayle Jasper-hayes | Counselor | 104 Ne A - Avenue, Idabel, OK 74745 | 2007-06-06 |
| Find all providers in zip 74745 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275023756 | Mays Housecall Home Health of South East Ok, LLC | Home Health | 2101 Se Washington St, Idabel, OK 74745-5455 | 2018-05-10 |
| 1619301116 | White River Home Health | Home Health | 2100 East Washington Street Ste D, Idabel, OK 74745 | 2013-09-03 |
| 1285665836 | Mccurtain Memorial Medical Management, Inc. | Home Health | 1301 East Lincoln Road, Idabel, OK 74745-7300 | 2006-07-05 |
| 1932452497 | White River Home Health LLC | Home Health | 2100 Se Washington St, Idabel, OK 74745-5449 | 2012-10-22 |
| 1669751814 | Hometown Quality Care, Inc. I | Home Health | 1100 Ne Lincoln Rd, Suite D, Idabel, OK 74745-2412 | 2011-08-05 |
| 1831226075 | Ultimate Home Care Services, LLC | Home Health | Highway 259 South, Idabel, OK 74745 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477166445 | Legacy Home Health, LLC | Home Health | 1631 N Main St Ste B, Muskogee, OK 74401-4451 | 2020-08-28 |
| 1508488727 | Healing Hearts Home Health and Hospice LLC | Home Health | 1400 N Porter Ave Ste 110, Norman, OK 73071-6604 | 2020-05-11 |
| 1144841891 | Full Motion Physical Therapy | Home Health | 6211 Pearl Snap Trl, Stillwater, OK 74074-7457 | 2020-05-05 |
| 1891315461 | Ugaf, LLC | Home Health | 3803 S 79th East Ave Ste 100, Tulsa, OK 74145-3252 | 2020-04-23 |
| 1437782406 | Uhs of Texoma Inc | Home Health | 372 Bryan Dr Ste 110, Durant, OK 74701-3466 | 2020-02-19 |
| 1073145645 | Felicia Antoinette Thompson | Home Health | 2220 N Norfolk Ave, Tulsa, OK 74106-3917 | 2020-02-11 |
| 1770120396 | 1st Choice Home Health Care & Hospice, Inc | Home Health | 1211 N Shartel Ave Ste 905a, Oklahoma City, OK 73103-2400 | 2019-12-02 |
| 1346886371 | Andrew Lee Garrean | Home Health | 4148 E 51st St, Tulsa, OK 74135-3609 | 2019-11-25 |
| 1891345021 | New Path Quality Home Healthcare LLC | Home Health | 240 E Apache St Ste 4, Tulsa, OK 74106-3702 | 2019-09-19 |
| 1760032171 | Caring Hearts Home Health, LLC | Home Health | 2220 W Houston St Ste E, Broken Arrow, OK 74012-3504 | 2019-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.