Active NPI
Angel Wings Healthcare LLC
- Community Based Hospice Care Agency
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 251G00000X
- Legal business name
- ANGEL WINGS HEALTHCARE LLC
- Practice address
- 1201 N Watson Rd Ste 187
Arlington, TX 76006-6225 - Phone
- (817) 583-6636
- Fax
- (817) 538-9508
- NPI assigned
- Oct 13, 2015
- Last updated
- Mar 27, 2026
- 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
- Chakira Fenton, MHA
- Title
- Administrator
- Phone
- (817) 583-6636
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | NU | ||
| Community Based Hospice Care Agency | 251G00000X | 251G00000X | TX | Primary |
Addresses
Primary practice location
1201 N Watson Rd Ste 187
Arlington, TX 76006-6225
Mailing address
1201 N Watson Rd Ste 187
Arlington, TX 76006-6225
Phone (817) 583-6636
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 018099 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160525000979 | TX | Part A Provider - Hospice | 5496044836 | Practice locations: Arlington, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1245601442. Details of each certification follow.
Hospice certification: CCN 741641
- Legal name
- ANGEL WINGS HEALTHCARE LLC
- Doing business as
- ANGEL WINGS HOSPICE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Sep 22, 2016
- Last certification
- Aug 8, 2019
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC
- Enrollment address
- 1201 N Watson Rd
Ste 187
Arlington, TX 76006-6225
Care Compare: Hospice
Medicare Care Compare- Listed as
- Angel Wings Hospice
- Ownership
- For-Profit
- Certified
- Sep 22, 2016
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1201 N Watson Rd
Ste 165
Arlington, TX 76006
Phone (214) 797-1000
1201 N Watson Rd
Ste 187A
Arlington, TX 76006
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Lonnie L Lewis | 5% Or Greater Direct Ownership Interest | Feb 1, 2017 | 25% |
| Corporate Director | Feb 1, 2017 | 25% | |
| W-2 Managing Employee | Feb 1, 2017 | 25% | |
| Deandre Brown | Contracted Managing Employee | Jul 1, 2019 | |
| W-2 Managing Employee | Jul 1, 2019 | ||
| Other | Jul 1, 2019 | ||
| Dorothea Dian Lee | 5% Or Greater Direct Ownership Interest | Jan 5, 2016 | 75% |
| Corporate Director | Jan 5, 2016 | 75% | |
| W-2 Managing Employee | Jan 5, 2016 | 75% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Grand Prairie, TX
- NPI 1932300779
Contracted Managing Employee, Other, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Geriatric Pharmacist
- Flower Mound, TX
- NPI 1396066304
-
- Internal Medicine Physician
- Grand Prairie, TX
- NPI 1932300779
-
- Professional Counselor
- Arlington, TX
- NPI 1861956633
Affiliated clinicians 2
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": "1774569600000",
"number": "1245601442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N WATSON RD STE 187",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760066225",
"telephone_number": "817-583-6636",
"fax_number": "817-538-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N WATSON RD STE 187",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760066225",
"telephone_number": "817-583-6636",
"fax_number": "817-538-9508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL WINGS HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-13",
"last_updated": "2026-03-27",
"certification_date": "2026-03-27",
"status": "A",
"authorized_official_last_name": "FENTON",
"authorized_official_first_name": "CHAKIRA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "817-583-6636",
"authorized_official_credential": "MHA"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "TX",
"license": "251G00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "018099",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
- Valorie Andrews, RN BSN
- Anees R Saleemi M D PA
- Anesthesia of North Texas, PA
- Anesthesiology Consultants of North Texas PA
- Anfree Incorported (Anderson Optical and Hearing Aids)
- Angel Wings Home Health Services LLC
- Angela Yen Moore, MD PA (Arlington Center for Dermatology)
- Angelhands HCS & Txhml Incorporated
- Angelic Hands Home Care, LLC
- Angelic Homehealth Care Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.