Organization Active NPI

E Medical Group of North Texas, Inc.

Doing business as Angels Care Home Health

  • Home Health Agency
  • Decatur, TX
National Provider Identifier
1700864121
Registry record updated Aug 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010041 Issued in TX
Legal business name
E MEDICAL GROUP OF NORTH TEXAS, INC.
Doing business as
Angels Care Home Health
Practice address
106 S Washburn St
Decatur, TX 76234-1608
Phone
(940) 627-6888
Fax
(940) 627-5174
NPI assigned
Jan 5, 2006
Last updated
Aug 4, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2015

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

Authorized official

Name
Mrs. Angie W Eddins
Title
Owner
Phone
(817) 469-6739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010041 TX Primary

Addresses

Primary practice location

106 S Washburn St
Decatur, TX 76234-1608

Mailing address

2301 Highway 1187
Suite 203
Mansfield, TX 76063-6124
Phone (817) 469-6739

Other names 1

  • Angels Care Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000233 TX Part A Provider - Home Health Agency 2668490152 Practice locations: Gainesville, TX; Denison, TX; Decatur, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1700864121. Details of each certification follow.

Home health agency certification: CCN 457786

Legal name
E MEDICAL GROUP OF NORTH TEXAS, INC.
Doing business as
ANGELS CARE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 2, 1985
Last certification
Aug 24, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 25, 2005 in TX
Enrollment address
106 S Washburn Street
Decatur, TX 76234-1608

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Care Home HealthCCN 457786 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 2, 1985
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
45D1046147E Medical Group of North Texas, Inc106 S Washburn Street, Decatur, TX 76234Certificate of waiverOct 2, 2027

National Provider Directory

National Provider Directory

Locations

106 S Washburn St
Decatur, TX 76234
Phone (940) 627-6888

106 W Main St
Gainesville, TX 76240
Phone (904) 665-0944

111 E California St
Gainesville, TX 76240
Phone (940) 665-0944

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
Angela W Eddins Individual 5% Or Greater Direct Ownership Interest Sep 6, 2005
Mark a Eddins Individual 5% Or Greater Direct Ownership Interest Sep 6, 2005 49%
Corporate Officer Sep 6, 2005
Corporate Director Sep 6, 2005
Kacee Rauschuber Individual W-2 Managing EmployeeDirector of Nursing & Alt Admin Jul 7, 2025
Samantha Moore Individual W-2 Managing EmployeeAd; Jul 7, 2025
Cindy M Godfrey Individual W-2 Managing EmployeeDelegate Official May 19, 2022
Jamie Tully Individual W-2 Managing EmployeeAlt Don Apr 8, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 66

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

View all 66

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438646400000",
    "number": "1700864121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HIGHWAY 1187",
            "address_2": "SUITE 203",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636124",
            "telephone_number": "817-469-6739",
            "fax_number": "801-801-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 S WASHBURN ST",
            "city": "DECATUR",
            "state": "TX",
            "postal_code": "762341608",
            "telephone_number": "940-627-6888",
            "fax_number": "940-627-5174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MEDICAL GROUP OF NORTH TEXAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-05",
        "last_updated": "2015-08-04",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-469-6739",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Care Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, TX

Sources for this page

Verify at the official NPI Registry.