Organization Active NPI

E Medical Group of Arizona No. 3, LLC

Doing business as Angels Care Home Health of Arizona No. 3

  • Home Health Agency
  • Green Valley, AZ
National Provider Identifier
1366931420
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
E MEDICAL GROUP OF ARIZONA NO. 3, LLC
Doing business as
Angels Care Home Health of Arizona No. 3
Practice address
210 W Continental Rd Ste 116B
Green Valley, AZ 85622-3546
Phone
(520) 203-8088
Fax
(520) 347-5762
NPI assigned
May 4, 2018
Last updated
Mar 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

210 W Continental Rd Ste 116B
Green Valley, AZ 85622-3546

Mailing address

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

Other names 1

  • Angels Care Home Health of Arizona No. 3 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180625000034 AZ Part A Provider - Home Health Agency 6103171624 Practice locations: Green Valley, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366931420. Details of each certification follow.

Home health agency certification: CCN 037485

Legal name
E MEDICAL GROUP OF ARIZONA NO 3 LLC
Doing business as
ANGELS CARE HOME HEALTH OF ARIZONA NO 3
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 2018
Last certification
Oct 17, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 2, 2018 in TX
Enrollment address
210 W Continental Rd
Ste 116B
Green Valley, AZ 85622-3546

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Care Home Health of Arizona No 3CCN 037485 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Dec 22, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
03D2156608E Medical Group of Arizona No 3, LLC210 W Continental Rd, Suite 116B, Green Valley, AZ 85622Certificate of waiverOct 21, 2026

National Provider Directory

National Provider Directory

Locations

210 W Continental Rd
Ste 116B
Green Valley, AZ 85622
Phone (520) 203-8088

210 W Continental Rd
Ste 244C
Green Valley, AZ 85622
Phone (520) 203-8088

Ownership & related parties

All disclosed owners & managing parties 7

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
Rodolfo Cancel Individual W-2 Managing EmployeeDon Oct 15, 2025
Angela W Eddins Individual 5% Or Greater Direct Ownership InterestOwner Apr 2, 2018 50%
Corporate OfficerGoverning Board Member Apr 2, 2018 50%
Mark a Eddins Individual 5% Or Greater Direct Ownership InterestOwner Apr 2, 2018 50%
Corporate OfficerGoverning Board Member Apr 2, 2018 50%
Lysa Collins Individual W-2 Managing EmployeeAd; Oct 15, 2025
Cindy M Godfrey Individual W-2 Managing EmployeeCompliance Officer Mar 26, 2024
Cassie de Kowzan Individual W-2 Managing EmployeeAlt Don & Alt Adm Oct 15, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 7

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": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1366931420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 FM 1187",
            "address_2": "# 203",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-469-6739",
            "fax_number": "817-539-2496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W CONTINENTAL RD STE 116B",
            "city": "GREEN VALLEY",
            "state": "AZ",
            "postal_code": "856223546",
            "telephone_number": "520-203-8088",
            "fax_number": "520-347-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MEDICAL GROUP OF ARIZONA NO. 3, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "GOVERNING BOARD MEMBER",
        "authorized_official_telephone_number": "817-469-6739"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Care Home Health of Arizona No. 3",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Green Valley, AZ

Sources for this page

Verify at the official NPI Registry.