Active NPI
E Hospice Group of Oklahoma No 1, LLC
- Community Based Hospice Care Agency
- Broken Arrow, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- E HOSPICE GROUP OF OKLAHOMA NO 1, LLC
- Practice address
- 751 N Aspen Ave
Broken Arrow, OK 74012-2224 - Phone
- (918) 215-4751
- NPI assigned
- Jul 1, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy M Godfrey
- Title
- Compliance Officer
- Phone
- (817) 539-2427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
751 N Aspen Ave
Broken Arrow, OK 74012-2224
Mailing address
2301 Highway 1187 Ste 203
Mansfield, TX 76063-6139
Other practice location 1
3400 Tuxedo Blvd Ste C
Bartlesville, OK 74006-2353
Phone (918) 333-3755
Other practice location 2
1318 S York St
Muskogee, OK 74403-7650
Phone (918) 681-4303
Other practice location 3
1405 S George Nigh Expy
McAlester, OK 74501-7406
Phone (918) 202-6594
Other practice location 4
400 E Central Ave Ste 508
Ponca City, OK 74601-5437
Phone (580) 762-6200
Other practice location 5
235 Woodlawn Ave
Tahlequah, OK 74464-3317
Phone (918) 207-0082
Other practice location 6
27 N Vann St
Pryor, OK 74361-2442
Phone (918) 825-3444
Other names 1
- Angels Care Hospice
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221012003428 | OK | Part A Provider - Hospice | 6901272103 | Practice locations: Broken Arrow, OK |
Hospice certification: CCN 371736
- Legal name
- E HOSPICE GROUP OF OKLAHOMA NO 1, LLC
- Doing business as
- ANGELS CARE HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- May 2, 2023
- Last certification
- Apr 19, 2023
- Organization structure
- LLC
- Incorporated
- May 16, 2022 in TX
- Enrollment address
- 1151 S Aspen Ave
Broken Arrow, OK 74012-4859
Care Compare: Hospice
Medicare Care Compare- Listed as
- Angels Care Hospice
- Certified
- May 2, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2267759 | Angels Care Hospice | Certificate of waiver | Aug 30, 2026 |
National Provider Directory
National Provider DirectoryLocations
3400 Tuxedo Blvd
Ste C
Bartlesville, OK 74006
Phone (918) 331-2422
2220 W Houston St
Ste D
Broken Arrow, OK 74012
Phone (918) 409-0554
1151 S Aspen Ave
Broken Arrow, OK 74012
Phone (918) 215-4751
1318 S York St
Muskogee, OK 74403
Phone (918) 681-4303
400 E Central Ave
Ste 508
Ponca City, OK 74601
Phone (580) 762-6200
Ownership & related parties
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Heath Beaty | Corporate Officer | Sep 27, 2020 | |
| Autumn Woods | W-2 Managing Employee | May 8, 2024 | |
| Angela W Eddins | 5% Or Greater Indirect Ownership Interest | Jun 11, 2020 | 50% |
| Mark a Eddins | 5% Or Greater Indirect Ownership Interest | Jun 11, 2020 | 50% |
| Timothy George Ihrig | Contracted Managing Employee | Feb 7, 2023 | |
| Cindy M Godfrey | W-2 Managing Employee | Sep 5, 2014 | |
| Acsk Hospice Inc | 5% Or Greater Direct Ownership Interest | Jun 26, 2020 | 100% |
| Operational/Managerial Control | Jun 26, 2020 | 100% | |
| Carrie Underwood | W-2 Managing Employee | Jan 3, 2025 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tulsa, OK
- NPI 1922111400
Contracted Managing Employee
Facilities with the same owner 8
Facilities that share an organizational owner with 5% or greater ownership or operational control.
-
- Community Based Hospice Care Agency
- Prescott, AZ
- NPI 1861020885
Acsk Hospice Inc
-
- Community Based Hospice Care Agency
- Omaha, NE
- NPI 1265018071
Acsk Hospice Inc
-
- Community Based Hospice Care Agency
- Wichita Falls, TX
- NPI 1164044012
Acsk Hospice Inc
-
- Community Based Hospice Care Agency
- Bay City, TX
- NPI 1447758065
Acsk Hospice Inc
-
- Community Based Hospice Care Agency
- Midland, TX
- NPI 1497142012
Acsk Hospice Inc
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Tulsa, OK
- NPI 1922111400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1114650751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 HIGHWAY 1187 STE 203",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760636139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 N ASPEN AVE",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740122224",
"telephone_number": "918-215-4751"
}
],
"practiceLocations": [
{
"address_1": "3400 Tuxedo Blvd Ste C",
"address_purpose": "LOCATION",
"city": "Bartlesville",
"state": "OK",
"postal_code": "740062353",
"country_code": "US",
"telephone_number": "918-333-3755",
"fax_number": "918-333-3759",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1318 S York St",
"address_purpose": "LOCATION",
"city": "Muskogee",
"state": "OK",
"postal_code": "744037650",
"country_code": "US",
"telephone_number": "918-681-4303",
"fax_number": "918-681-4483",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1405 S George Nigh Expy",
"address_purpose": "LOCATION",
"city": "McAlester",
"state": "OK",
"postal_code": "745017406",
"country_code": "US",
"telephone_number": "918-202-6594",
"fax_number": "918-202-5533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "400 E Central Ave Ste 508",
"address_purpose": "LOCATION",
"city": "Ponca City",
"state": "OK",
"postal_code": "746015437",
"country_code": "US",
"telephone_number": "580-762-6200",
"fax_number": "580-762-6201",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "235 Woodlawn Ave",
"address_purpose": "LOCATION",
"city": "Tahlequah",
"state": "OK",
"postal_code": "744643317",
"country_code": "US",
"telephone_number": "918-207-0082",
"fax_number": "918-207-0085",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27 N Vann St",
"address_purpose": "LOCATION",
"city": "Pryor",
"state": "OK",
"postal_code": "743612442",
"country_code": "US",
"telephone_number": "918-825-3444",
"fax_number": "918-825-4407",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "E HOSPICE GROUP OF OKLAHOMA NO 1, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-01",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "GODFREY",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "817-539-2427"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Angels Care Hospice",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Angels Care Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.