NPIMap

Organization Active NPI

E Hospice Group of Nebraska No 1 LLC

  • Community Based Hospice Care Agency
  • Omaha, NE
National Provider Identifier
1265018071
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
E HOSPICE GROUP OF NEBRASKA NO 1 LLC
Practice address
10838 Old Mill Rd Ste 1
Omaha, NE 68154-2649
Phone
(402) 933-5836
Fax
(402) 933-5837
NPI assigned
Mar 22, 2021
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Angela 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

10838 Old Mill Rd Ste 1
Omaha, NE 68154-2649

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210426000699 NE Part A Provider - Hospice 2769890078 Practice locations: Omaha, NE

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1265018071. Details of each certification follow.

Hospice certification: CCN 281540

Legal name
E HOSPICE GROUP OF NEBRASKA NO 1 LLC
Doing business as
ANGELS CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 11, 2008
Last certification
May 18, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Oct 5, 2020 in TX
Enrollment address
10838 Old Mill Rd
Ste 1
Omaha, NE 68154-2649

Care Compare: Hospice

Medicare Care Compare
Listed as
Angels Care HospiceCCN 281540 · All quality measures
Ownership
For-Profit
Certified
Mar 11, 2008
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
28D2228838E Hospice Group of Nebraska No 1, LLC10838 Old Mill Rd, Ste 1, Omaha, NE 68154Certificate of waiverJun 30, 2027

National Provider Directory

National Provider Directory

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
William Moore Individual W-2 Managing EmployeeAlt Admin & Alt Don Mar 19, 2026
Lorrie L McGill Individual Contracted Managing EmployeeMD; Jan 22, 2021
Ashley Rasmussen Individual W-2 Managing EmployeeAdministrator/Director Nursing Mar 29, 2021
Jennifer Price Individual W-2 Managing EmployeeCompliance Officer Mar 19, 2026
Angela W Eddins Individual Corporate OfficerPresident/Board Member Mar 29, 2021
Corporate DirectorPresident/Board Member Mar 29, 2021
Mark a Eddins Individual Corporate OfficerVice President/Board Member Mar 29, 2021
Corporate DirectorVice President/Board Member Mar 29, 2021
Cindy M Godfrey Individual W-2 Managing EmployeeCompliance Officer May 29, 2025
Acsk Hospice Inc Organization, Mansfield, TX Corporation 5% Or Greater Direct Ownership Interest Mar 29, 2021 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
Mar 29, 2021 Change of OwnershipThis provider was the buyer Progressive Home Health & Hospice LLCCCN 281540, NE, NPI 1508006982

Change of ownership 1

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

Practitioners & affiliated clinicians

Practitioners 1

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 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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1265018071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 FM 1187",
            "address_2": "STE 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": "10838 OLD MILL RD STE 1",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681542649",
            "telephone_number": "402-933-5836",
            "fax_number": "402-933-5837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E HOSPICE GROUP OF NEBRASKA NO 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "ANGELA",
        "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": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.