NPIMap

Organization Active NPI

E Medical Group of Missouri No 3 LLC

Doing business as Angels Care Home Health

  • Home Health Agency
  • Moberly, MO
National Provider Identifier
1407688674
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
E MEDICAL GROUP OF MISSOURI NO 3 LLC
Doing business as
Angels Care Home Health
Practice address
1513 Union Ave Ste 2200
Moberly, MO 65270-9404
Phone
(636) 926-3722
NPI assigned
Aug 16, 2024
Last updated
Dec 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Angie Eddins
Title
President
Phone
(817) 539-2427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

1513 Union Ave Ste 2200
Moberly, MO 65270-9404

Mailing address

2301 Highway 1187 Ste 203
Mansfield, TX 76063-6139
Phone (817) 539-2427

Other names 1

  • Angels Care Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250130001106 MO Part A Provider - Home Health Agency 4284163676 Practice locations: Moberly, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407688674. Details of each certification follow.

Home health agency certification: CCN 267097

Legal name
E MEDICAL GROUP OF MISSOURI NO 3 LLC
Doing business as
ANGELS CARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 8, 1982
Last certification
Feb 27, 2020
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Enrollment address
1513 Union Ave
Ste 2200
Moberly, MO 65270-9404

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Care Home HealthCCN 267097 · All quality measures
Overall star rating
4 of 5
Ownership
Non-Profit
Certified
Feb 8, 1982
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1053 Cave Springs Rd
Ste 305
Saint Peters, MO 63376
Phone (636) 926-3722

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 DirectorChief Financial Officer Aug 19, 2024
Angela W Eddins Individual 5% Or Greater Indirect Ownership Interest Aug 19, 2024 50%
Corporate OfficerPresident Aug 19, 2024
Mark a Eddins Individual 5% Or Greater Indirect Ownership Interest Aug 19, 2024 50%
Corporate OfficerPresident Aug 19, 2024
Acsk Home Care, Inc. Organization, Mansfield, TX Corporation 5% Or Greater Direct Ownership Interest Aug 19, 2024 100%
Cindy M Godfrey Individual W-2 Managing EmployeeCompliance Officer Sep 18, 2024
Terri M Mitchell Individual W-2 Managing EmployeeAlt Admin and Alt Don Aug 19, 2024
Sara Mathews Individual W-2 Managing EmployeeAd;Don Aug 19, 2024

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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": "1723766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1407688674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HIGHWAY 1187 STE 203",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636139",
            "telephone_number": "817-539-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 UNION AVE STE 2200",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652709404",
            "telephone_number": "636-926-3722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MEDICAL GROUP OF MISSOURI NO 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-539-2427"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Care Home Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Angels Care Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moberly, MO

Sources for this page

Verify at the official NPI Registry.