E Medical Group of North Texas, Inc.
Organization Active NPI Home Health Agency · Decatur, TX
NPI 1700864121 · NPPES record last updated Aug 4, 2015
Key facts
- NPI
- 1700864121
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- License
- 010041 (TX)
- Legal business name
- E MEDICAL GROUP OF NORTH TEXAS, INC.
- Practice address
- 106 S Washburn St
Decatur, TX 76234-1608 - Phone
- (940) 627-6888
- Fax
- (940) 627-5174
- NPI assigned
- Jan 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Angie W Eddins
- Title
- Owner
- Phone
- (817) 469-6739
Affiliated clinicians 66
-
Brenda H Anderle, PA
-
Megan Baker, APRN, FNP-C
-
Hannah Sumnyr Berg, FNP
-
Jaspaul Singh Bhangoo, M.D.
-
Emily Bouffard, MD
-
Rachel Stobaugh Bowles, MSN, APRN, FNP-C
-
Jessica Marie Bowman, NURSE PRACTITIONER
-
Cameron Boyers, MSN, APRN, FNP-C
-
Denise Michele Casper, D.O.
-
Ethan Chandler, MD
-
Amy Marie Dangelmayr, FNPC
-
Andrea Megan Deloera, PA-C
-
Erin Erbskorn, NP
-
Joel Farris, AGNP
-
Jill Ann Fuhrmann, RN, FNP-C
-
Michelle Hacker, FNP-C
-
Eric Hellman, MD
-
Christian Boyce Helm, M.D.
Medicare Care Compare: Home health agency
- Listed as
- Angels Care Home Health
- Overall star rating
- ★★★☆☆ 3 of 5
- Ownership
- Proprietary
- Certified
- Jul 2, 1985
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1046147 | E Medical Group of North Texas, Inc | Certificate of waiver | Oct 2, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
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
- Corporation · Proprietary
- Incorporated
- Aug 25, 2005 in TX
- Enrollment address
- 106 S Washburn Street
Decatur, TX 76234-1608
All disclosed owners & managing parties 7
| Name | Role | Since | Share |
|---|---|---|---|
| Michael Heath Beaty |
Corporate Officer |
Sep 27, 2020 | |
| Angela W Eddins |
5% Or Greater Direct Ownership Interest | Sep 6, 2005 | |
| Mark a Eddins |
5% Or Greater Direct Ownership Interest | Sep 6, 2005 | 49% |
| Corporate Officer | Sep 6, 2005 | ||
| Corporate Director | Sep 6, 2005 | ||
| Kacee Rauschuber |
W-2 Managing Employee |
Jul 7, 2025 | |
| Samantha Moore |
W-2 Managing Employee |
Jul 7, 2025 | |
| Cindy M Godfrey |
W-2 Managing Employee |
May 19, 2022 | |
| Jamie Tully |
W-2 Managing Employee |
Apr 8, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051103000233 | TX | Part a Provider - Home Health Agency | 2668490152 | Practice locations: Gainesville, TX; Denison, TX; Decatur, TX |
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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 010041 | TX | Yes |
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
- Angels Care Home Health
Other providers in Decatur, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.