Organization Active NPI

Angel Wings Healthcare LLC

  • Community Based Hospice Care Agency
  • Arlington, TX
National Provider Identifier
1245601442
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
251G00000X Issued in TX
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
018099MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
1201 N Watson Rd
Ste 187
Arlington, TX 76006-6225

Care Compare: Hospice

Medicare Care Compare
Listed as
Angel Wings HospiceCCN 741641 · All quality measures
Ownership
For-Profit
Certified
Sep 22, 2016
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lonnie L Lewis Individual 5% Or Greater Direct Ownership InterestMember/Owner Feb 1, 2017 25%
Corporate DirectorDirector Feb 1, 2017 25%
W-2 Managing EmployeeAlternate Administrator Feb 1, 2017 25%
Deandre Brown Individual Contracted Managing EmployeeMD; Jul 1, 2019
W-2 Managing EmployeeMD; Jul 1, 2019
OtherHospice Medical Director Jul 1, 2019
Dorothea Dian Lee Individual 5% Or Greater Direct Ownership InterestMember/Owner Jan 5, 2016 75%
Corporate DirectorMember/Owner Jan 5, 2016 75%
W-2 Managing EmployeeAdministrator 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.

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.

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

Sources for this page

Verify at the official NPI Registry.