Angel Hospice Corp

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ANGEL HOSPICE CORP

Practice address

208 W Kearney St
Suite 103
Mesquite, TX 75149-3476

Phone

(214) 432-2636

Fax

(214) 432-6570

NPI assigned

Feb 28, 2012

Last updated

Jan 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tobin Daniel

Title

President

Phone

(214) 432-2636

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174897839. Details of each certification follow.

• CCN 671794 Hospice · Active · Details

Hospice certification: CCN 671794

Legal name

ANGEL HOSPICE CORP

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 12, 2013

Last certification

Jan 13, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

CorporationProprietary

Incorporated

Feb 7, 2012 in TX

Enrollment address

208 W Kearney St
Ste 103
Mesquite, TX 75149-3479

Listed as

Angel Hospice CorpCCN 671794 · All quality measures

Ownership

Other

Certified

Jul 12, 2013

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

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

Affiliated clinicians 1

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

• Nikhil B Acharya, M.D

  • Internal Medicine Physician
  • Tyler, TX
  • NPI 1780947135

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1174897839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 W KEARNEY ST",
            "address_2": "SUITE 103",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493476",
            "telephone_number": "214-432-2636",
            "fax_number": "214-432-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 W KEARNEY ST",
            "address_2": "SUITE 103",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751493476",
            "telephone_number": "214-432-2636",
            "fax_number": "214-432-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL HOSPICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-28",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "DANIEL",
        "authorized_official_first_name": "TOBIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-432-2636"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alycia Dawn Andersson, CRNA
• Janelle Marie Andonie Bocock, RDN, LD
• Ashlee Nicole Andrews
• Margaret Andrews, LVN
• Anesthesia Care, P.a.
• Angel's Services
• Angela Draughon Preston DC PA
• Angela Flowers, LMSW
• Angelic Assistance at Home Health (Angelic Assistance At Home Health Agency)
• Angels Day Rehabilitation Center

• Community Based Hospice Care Agency in Mesquite, TX
• Providers in Mesquite, TX by specialty
• Community Based Hospice Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.

Verify at the official NPI Registry.