Organization Active NPI

E Medical Group of College Station, LLC

  • Home Health Agency
  • Georgetown, TX
National Provider Identifier
1104297472
Registry record updated Feb 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
E MEDICAL GROUP OF COLLEGE STATION, LLC
Practice address
1911 N Austin Ave Ste 502
Georgetown, TX 78626-4543
Phone
(979) 690-8399
Fax
(979) 690-8355
NPI assigned
Oct 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2026

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

Authorized official

Name
Angela Eddins
Title
Member
Phone
(817) 469-6739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1911 N Austin Ave Ste 502
Georgetown, TX 78626-4543

Mailing address

2301 FM 1187
Suite 203
Mansfield, TX 76063
Phone (817) 469-6739

Other names 1

  • ANGELS CARE HOME HEALTH OF COLLEGE STATION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151214002597 TX Part A Provider - Home Health Agency 4880995968 Practice locations: Georgetown, TX

Home health agency certification: CCN 747080

Legal name
E MEDICAL GROUP OF COLLEGE STATION, LLC
Doing business as
ANGELS CARE HOME HEALTH OF COLLEGE STATION
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 3, 2009
Last certification
Sep 24, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Oct 7, 2015 in TX
Enrollment address
1911 N Austin Ave
Ste 502
Georgetown, TX 78626-4543

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Care Home Health of College StationCCN 747080
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Mar 3, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2104398E Medical Group of College Station , LLC1911 N Austin Ave, Ste 502, Georgetown, TX 78626Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
A Caring Solution Home Health Care Services Limited Liability Company2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

707 Texas Ave S
Ste 100A
College Station, TX 77840

707 Texas Ave S
Ste 203A
College Station, TX 77840

1911 N Austin Ave
Ste 502
Georgetown, TX 78626
Phone (737) 238-0587

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
Michael Heath Beaty Individual Corporate OfficerCfo Sep 27, 2020
Angela W Eddins Individual 5% Or Greater Direct Ownership Interest Oct 7, 2015 51%
Jennifer Race Individual W-2 Managing EmployeeAd;Director of Nursing May 12, 2025
Mark a Eddins Individual 5% Or Greater Direct Ownership Interest Oct 7, 2015 49%
Cindy M Godfrey Individual W-2 Managing EmployeeDelegate Official May 24, 2022
Dusty Holbrook Individual W-2 Managing EmployeeAlt Admin & Alt Don Oct 10, 2023

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771977600000",
    "number": "1104297472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 FM 1187",
            "address_2": "SUITE 203",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-469-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 N AUSTIN AVE STE 502",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786264543",
            "telephone_number": "979-690-8399",
            "fax_number": "979-690-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MEDICAL GROUP OF COLLEGE STATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-13",
        "last_updated": "2026-02-25",
        "certification_date": "2026-02-25",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "817-469-6739"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGELS CARE HOME HEALTH OF COLLEGE STATION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANGELS CARE HOME HEALTH OF COLLEGE STATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.