Organization Active NPI

E Hospice Group of Oklahoma No 1, LLC

  • Community Based Hospice Care Agency
  • Broken Arrow, OK
National Provider Identifier
1114650751
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Mar 26, 2026

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HospiceCCN 371736
Certified
May 2, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
37D2267759Angels Care Hospice1151 S Aspen Ave, Broken Arrow, OK 74012Certificate of waiverAug 30, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Michael Heath Beaty Individual Corporate Officer Sep 27, 2020
Autumn Woods Individual W-2 Managing EmployeeDon & Alt Admin May 8, 2024
Angela W Eddins Individual 5% Or Greater Indirect Ownership Interest Jun 11, 2020 50%
Mark a Eddins Individual 5% Or Greater Indirect Ownership Interest Jun 11, 2020 50%
Timothy George Ihrig Individual Contracted Managing EmployeeMD; Feb 7, 2023
Cindy M Godfrey Individual W-2 Managing Employee Sep 5, 2014
Acsk Hospice Inc Organization, Mansfield, TX Corporation 5% Or Greater Direct Ownership Interest Jun 26, 2020 100%
Operational/Managerial Control Jun 26, 2020 100%
Carrie Underwood Individual W-2 Managing EmployeeAd;Alt Don 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.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "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

Verify at the official NPI Registry.