NPIMap

Organization Active NPI

E Hospice Group of Texas No 1 LLC

  • Community Based Hospice Care Agency
  • Wichita Falls, TX
National Provider Identifier
1164044012
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
E HOSPICE GROUP OF TEXAS NO 1 LLC
Practice address
1908 Elmwood North Ave # 102
Wichita Falls, TX 76308-3738
Phone
(940) 500-2537
Fax
(940) 784-7206
NPI assigned
May 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1908 Elmwood North Ave # 102
Wichita Falls, TX 76308-3738

Mailing address

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

Other practice location 1

2412 College Hills Blvd Ste 212
San Angelo, TX 76904-8425
Phone (325) 627-5663

Other practice location 2

4309 Old Jacksboro Hwy
Wichita Falls, TX 76302-2740
Phone (940) 500-2537

Other names 1

  • Angels Care Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201103001416 TX Part A Provider - Hospice 6709296718 Practice locations: Midland, TX; San Angelo, TX; Wichita Falls, TX

Hospice certification: CCN 451610

Legal name
E HOSPICE GROUP OF TEXAS NO 1 LLC
Doing business as
ANGELS CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jun 9, 1994
Last certification
Mar 25, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Nov 5, 2019 in TX
Enrollment address
1908 Elmwood North Ave
Ste 102
Wichita Falls, TX 76308-3738

Care Compare: Hospice

Medicare Care Compare
Listed as
Angels Care HospiceCCN 451610
Ownership
For-Profit
Certified
Jun 9, 1994
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
45D2193216E Hospice Group of Texas No 1, LLC1908 Elmwood North Ave Suite102, Wichita Falls, TX 76308Certificate of waiverSep 17, 2026
45D2293191E Hospice Group of Texas No 1, LLC2412 College Hills Blvd Ste 212, San Angelo, TX 76904Certificate of waiverNov 2, 2027

National Provider Directory

National Provider Directory

Locations

1908 Elmwood North Ave
#102
Wichita Falls, TX 76308
Phone (940) 500-2537

4309 Old Jacksboro Hwy
Ste K
Wichita Falls, TX 76302
Phone (940) 500-2537

4309 Old Jacksboro Hwy
Wichita Falls, TX 76302
Phone (940) 500-2537

1908 Elmwood North Ave
Ste 102
Wichita Falls, TX 76308

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 OfficerCfo Sep 27, 2020
Jennifer Price Individual W-2 Managing EmployeeAd;Hospice Administrator & Alt Don Jul 26, 2023
Cari Johnson Individual W-2 Managing EmployeeDon & Alt Admin Nov 28, 2023
Angela W Eddins Individual 5% Or Greater Indirect Ownership Interest Jun 11, 2020 50%
Corporate OfficerBoard Member Jun 11, 2020
Corporate DirectorBoard Member Jun 11, 2020
Mark a Eddins Individual Corporate Officer Jun 11, 2020
Corporate Director Jun 11, 2020
Peter P Chang Individual Contracted Managing EmployeeMD; Mar 8, 2021
Cindy M Godfrey Individual W-2 Managing EmployeeCompliance Officer Jul 26, 2023
Acsk Hospice Inc Organization, Mansfield, TX Corporation 5% Or Greater Direct Ownership Interest Jun 11, 2020 100%

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.

Change-of-ownership history 1

DateEventCounterparty
Jun 11, 2020 Change of OwnershipThis provider was the buyer Graham Regional HospiceCCN 451610, TX, NPI 1306874334

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1589414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1164044012",
    "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": "1908 ELMWOOD NORTH AVE # 102",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083738",
            "telephone_number": "940-500-2537",
            "fax_number": "940-784-7206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2412 College Hills Blvd Ste 212",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769048425",
            "country_code": "US",
            "telephone_number": "325-627-5663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4309 Old Jacksboro Hwy",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763022740",
            "country_code": "US",
            "telephone_number": "940-500-2537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "E HOSPICE GROUP OF TEXAS NO 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-14",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "817-469-6739"
    },
    "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"
        }
    ]
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.