Organization Active NPI

Su Casa Home Health Services, LLC

  • Home Health Agency
  • Lubbock, TX
National Provider Identifier
1588669808
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
007971 Issued in TX
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, 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
Cindy M Godfrey
Title
Compliance Officer
Phone
(817) 539-2427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 HealthCCN 679160 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Sep 6, 2002
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Michael Heath Beaty Individual Corporate OfficerCfo Sep 27, 2020
Patricia Coulter Individual W-2 Managing EmployeeAdon & Alt Admin May 14, 2025
Angela W Eddins Individual 5% Or Greater Direct Ownership Interest Sep 9, 2019 50%
Corporate OfficerBoard Member Sep 9, 2019
Corporate DirectorBoard Member Sep 9, 2019
Mark a Eddins Individual 5% Or Greater Direct Ownership Interest Sep 9, 2019 50%
Corporate OfficerBoard Member Sep 9, 2019
Corporate DirectorBoard Member Sep 9, 2019
Cindy M Godfrey Individual W-2 Managing EmployeeCompliance Officer Oct 9, 2023
Jill Phillips Individual W-2 Managing EmployeeAd;Don 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.

Affiliated clinicians 4

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": "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

Verify at the official NPI Registry.