Provider Demographics
NPI:1235664533
Name:RETREAT HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:RETREAT HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICKEY
Authorized Official - Middle Name:W
Authorized Official - Last Name:RIEBESELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:903-793-0282
Mailing Address - Street 1:4321 MCKNIGHT RD
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:TX
Mailing Address - Zip Code:75503-0929
Mailing Address - Country:US
Mailing Address - Phone:903-793-0282
Mailing Address - Fax:903-793-2586
Practice Address - Street 1:4321 MCKNIGHT RD
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:TX
Practice Address - Zip Code:75503-0929
Practice Address - Country:US
Practice Address - Phone:903-793-0282
Practice Address - Fax:903-221-0302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-24
Last Update Date:2022-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
No385H00000XRespite Care FacilityRespite Care