NPIMap

Organization Active NPI

E Medical Group of Arizona No 5 LLC

Doing business as Angels Care Home Health of Arizona No. 5

  • Home Health Agency
  • Flagstaff, AZ
National Provider Identifier
1730728502
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
E MEDICAL GROUP OF ARIZONA NO 5 LLC
Doing business as
Angels Care Home Health of Arizona No. 5
Practice address
1030 N San Francisco St Ste 110
Flagstaff, AZ 86001-3275
Phone
(928) 773-7570
NPI assigned
Dec 27, 2019
Last updated
Apr 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Angela Eddins
Title
Governing Board Member
Phone
(817) 469-6739

Specialties & licenses 1

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

Addresses

Primary practice location

1030 N San Francisco St Ste 110
Flagstaff, AZ 86001-3275

Mailing address

2301
FM 1187 Ste 203
Mansfield, TX 76063
Phone (817) 469-6739

Other names 1

  • ANGELS CARE HOME HEALTH OF ARIZONA NO. 5 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200429002483 AZ Part A Provider - Home Health Agency 6800224122 Practice locations: Flagstaff, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1730728502. Details of each certification follow.

Home health agency certification: CCN 037500

Legal name
E MEDICAL GROUP OF ARIZONA NO 5 LLC
Doing business as
ANGELS CARE HOME HEALTH OF ARIZONA NO.5
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 11, 2021
Last certification
Jun 11, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
1030 N San Francisco St
Ste 110
Flagstaff, AZ 86001-3275

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Care Home Health of Arizona No 5CCN 037500 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Jun 11, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, 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
03D2177450Angels Care Home Health of Arizona No 5, LLC1030 N San Francisco St Ste 110, Flagstaff, AZ 86001Certificate of waiverJan 9, 2028

National Provider Directory

National Provider Directory

Locations

1030 N San Francisco St
Ste 110
Flagstaff, AZ 86001
Phone (928) 773-7570

1575 Plaza West Dr
Ste C
Prescott, AZ 86303
Phone (817) 539-2456

Ownership & related parties

All disclosed owners & managing parties 9

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
Morgan Curran Johnson Duval Individual W-2 Managing EmployeeAd; Feb 26, 2026
Rodolfo Cancel Individual W-2 Managing EmployeeAdon Feb 26, 2026
Kerry Layfield Individual W-2 Managing EmployeeCompliance Officer May 3, 2026
Angela W Eddins Individual 5% Or Greater Direct Ownership Interest Mar 3, 2020 50%
Corporate OfficerBoard Member Mar 20, 2020
Corporate DirectorBoard Member Mar 20, 2020
Mark a Eddins Individual 5% Or Greater Direct Ownership Interest Mar 3, 2020 50%
Corporate OfficerBoard Member Mar 3, 2020
Corporate DirectorBoard Member Mar 3, 2020
Acsk Home Care, Inc. Organization, Mansfield, TX Corporation 5% Or Greater Direct Ownership Interest Mar 3, 2020 100%
Operational/Managerial Control Mar 3, 2020 100%
Jennifer Muller Individual W-2 Managing EmployeeAlt Admin & Don May 3, 2026
Cindy M Godfrey Individual W-2 Managing EmployeeDelegated Offical Oct 28, 2022

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 46

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

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1730728502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301",
            "address_2": "FM 1187 STE 203",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-469-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 N SAN FRANCISCO ST STE 110",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013275",
            "telephone_number": "928-773-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E MEDICAL GROUP OF ARIZONA NO 5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-27",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "GOVERNING BOARD MEMBER",
        "authorized_official_telephone_number": "817-469-6739"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGELS CARE HOME HEALTH OF ARIZONA NO. 5",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANGELS CARE HOME HEALTH OF ARIZONA NO. 5",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flagstaff, AZ

Sources for this page

Verify at the official NPI Registry.