Active NPI
Su Casa Home Health Services, LLC
- Home Health Agency
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 007971
- Legal business name
- SU CASA HOME HEALTH SERVICES, LLC
- Practice address
- 4505 82ND St Ste 9
Lubbock, TX 79424-3219 - Phone
- (817) 469-6739
- NPI assigned
- Jun 14, 2005
- Last updated
- Mar 26, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cindy M Godfrey
- Title
- Compliance Officer
- Phone
- (817) 539-2427
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 007971 | TX | Primary |
Addresses
Primary practice location
4505 82ND St Ste 9
Lubbock, TX 79424-3219
Mailing address
2301 FM 1187
Suite 203
Mansfield, TX 76063-4419
Phone (817) 469-6739
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080501000121 | TX | Part A Provider - Home Health Agency | 4789763848 | Practice locations: Lubbock, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1588669808. Details of each certification follow.
Home health agency certification: CCN 679160
- Legal name
- SU CASA HOME HEALTH SERVICES, LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Sep 6, 2002
- Last certification
- Dec 12, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Apr 1, 2002 in TX
- Enrollment address
- 4505 82ND St
Ste 9
Lubbock, TX 79424-3219
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Angels Care Home Health
- Overall star rating
- Ownership
- Proprietary
- Certified
- Sep 6, 2002
- Medicare certification status
- Active
- Services
- Nursing, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
4505 82nd St
Ste 9
Lubbock, TX 79424
Phone (806) 785-7246
1311 W Florida Ave
Midland, TX 79701
Phone (432) 520-2556
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Heath Beaty | Corporate Officer | Sep 27, 2020 | |
| Patricia Coulter | W-2 Managing Employee | May 14, 2025 | |
| Angela W Eddins | 5% Or Greater Direct Ownership Interest | Sep 9, 2019 | 50% |
| Corporate Officer | Sep 9, 2019 | ||
| Corporate Director | Sep 9, 2019 | ||
| Mark a Eddins | 5% Or Greater Direct Ownership Interest | Sep 9, 2019 | 50% |
| Corporate Officer | Sep 9, 2019 | ||
| Corporate Director | Sep 9, 2019 | ||
| Cindy M Godfrey | W-2 Managing Employee | Oct 9, 2023 | |
| Jill Phillips | W-2 Managing Employee | May 14, 2025 |
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.
-
- Chiropractor
- Lubbock, TX
- NPI 1255331286
Affiliated clinicians 4
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Medicine Physician
- O'Donnell, TX
- NPI 1881040665
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1588669808",
"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": "760634419",
"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": "4505 82ND ST STE 9",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794243219",
"telephone_number": "817-469-6739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SU CASA HOME HEALTH SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-14",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "GODFREY",
"authorized_official_first_name": "CINDY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "COMPLIANCE OFFICER",
"authorized_official_telephone_number": "817-539-2427"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "007971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.