NPIMap

Organization Active NPI

Beech Home Care & Medical, Inc.

Doing business as Angels Care Home Health of Beech

  • Home Health Agency
  • Sun City West, AZ
National Provider Identifier
1376782987
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BEECH HOME CARE & MEDICAL, INC.
Doing business as
Angels Care Home Health of Beech
Practice address
13930 W Camino del Sol Ste 107
Sun City West, AZ 85375-4429
Phone
(623) 476-0071
Fax
(623) 399-1426
NPI assigned
Feb 5, 2009
Last updated
Nov 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Authorized official

Name
Mrs. Angela Eddins
Title
Ceo
Phone
(817) 469-6739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13930 W Camino del Sol Ste 107
Sun City West, AZ 85375-4429

Mailing address

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

Other names 1

  • Angels Care Home Health of Beech Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120208000367 AZ Part A Provider - Home Health Agency 8224295902 Practice locations: Sun City West, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1376782987. Details of each certification follow.

Home health agency certification: CCN 037413

Legal name
BEECH HOME CARE & MEDICAL, INC.
Doing business as
ANGELS CARE HOME HEALTH OF BEECH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 4, 2012
Last certification
Apr 16, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 2, 2008 in AZ
Enrollment address
13930 W Camino del Sol
Ste 107
Sun City West, AZ 85375-4429

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Care Home Health of BeechCCN 037413 · All quality measures
Overall star rating
4 of 5
Ownership
Proprietary
Certified
Sep 4, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, 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
03D2027705Angels Care Home Health13930 W Camino del Sol Ste 107, Sun City West, AZ 85375Certificate of waiverJul 28, 2027

National Provider Directory

National Provider Directory

Locations

13930 W Camino del Sol
Ste 107
Sun City West, AZ 85375
Phone (623) 476-0071

4041 S McClintock Dr
Ste 307
Tempe, AZ 85282
Phone (480) 239-8575

Ownership & related parties

All disclosed owners & managing parties 6

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
Angela W Eddins Individual 5% Or Greater Direct Ownership InterestOwner Jun 29, 2018 50%
Corporate OfficerPresident/Treasurer Jun 29, 2018 50%
Corporate DirectorPresident/Treasurer Jun 29, 2018 50%
Mark a Eddins Individual 5% Or Greater Direct Ownership InterestOwner Jun 29, 2018 50%
Corporate OfficerPresident/Treasurer Jun 29, 2018 50%
Corporate DirectorPresident/Treasurer Jun 29, 2018 50%
Cindy M Godfrey Individual W-2 Managing EmployeeCompliance Officer Jun 26, 2023
Cassie de Kowzan Individual W-2 Managing EmployeeAlt Admin & Alt Don May 20, 2025
Victoria Roybal Individual W-2 Managing EmployeeAd;Don May 20, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1233792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1376782987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 FM 1187",
            "address_2": "SUITE 203",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-469-6739",
            "fax_number": "817-801-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13930 W CAMINO DEL SOL STE 107",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754429",
            "telephone_number": "623-476-0071",
            "fax_number": "623-399-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEECH HOME CARE & MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-05",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-469-6739",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Beech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sun City West, AZ

Sources for this page

Verify at the official NPI Registry.