NPIMap

Organization Active NPI

E Hospice Group of Arizona No 1 LLC

Doing business as Angels Care Hospice

  • Community Based Hospice Care Agency
  • Prescott, AZ
National Provider Identifier
1861020885
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
E HOSPICE GROUP OF ARIZONA NO 1 LLC
Doing business as
Angels Care Hospice
Practice address
1000 Willow Creek Rd Ste B
Prescott, AZ 86301-1645
Phone
(817) 469-6739
NPI assigned
Mar 27, 2020
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

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

Authorized official

Name
Angela W Eddins
Title
President
Phone
(817) 469-6739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NU Primary

Addresses

Primary practice location

1000 Willow Creek Rd Ste B
Prescott, AZ 86301-1645

Mailing address

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

Other practice location 1

31 Bell Rock Plz Ste A
Sedona, AZ 86351-9099
Phone (928) 534-3425

Other names 1

  • ANGELS CARE HOSPICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210312000928 AZ Part A Provider - Hospice 0840606091 Practice locations: Sedona, AZ; Prescott, AZ

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861020885. Details of each certification follow.

Hospice certification: CCN 031758

Legal name
E HOSPICE GROUP OF ARIZONA NO 1 LLC
Doing business as
ANGELS CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 24, 2021
Last certification
Aug 24, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Jan 30, 2020 in TX
Enrollment address
1000 Willow Creek Rd
Ste B
Prescott, AZ 86301-1645

Care Compare: Hospice

Medicare Care Compare
Listed as
Angels Care HospiceCCN 031758 · All quality measures
Ownership
For-Profit
Certified
Aug 24, 2021
Medicare certification status
ActiveFrom the Provider of Services file

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
03D2192148E Hospice Group of Arizona No 1, LLC Dba1000 Willow Creek Rd Ste B, Prescott, AZ 86301Certificate of waiverSep 3, 2026

National Provider Directory

National Provider Directory

Locations

1000 Willow Creek Rd
Ste C
Prescott, AZ 86301
Phone (928) 362-0577

31 Bell Rock Plz
Ste A
Sedona, AZ 86351
Phone (928) 534-3425

10838 Old Mill Rd
Ste 1
Omaha, NE 68154
Phone (402) 933-5836

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
Victoria Michelle Angel Individual W-2 Managing EmployeeAdmin & Don Apr 17, 2023
Stacy Guglielmotti Individual W-2 Managing EmployeeAdon & Alt Admin Apr 17, 2023
Angela W Eddins Individual Corporate DirectorBoard Member Aug 25, 2020
Mark a Eddins Individual Corporate DirectorBoard Member Aug 25, 2020
Cindy M Godfrey Individual W-2 Managing EmployeeDelegated Official Jun 14, 2022
Acsk Hospice Inc Organization, Mansfield, TX Corporation 5% Or Greater Direct Ownership Interest Aug 25, 2020 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1861020885",
    "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": "76063",
            "telephone_number": "817-469-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WILLOW CREEK RD STE B",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863011645",
            "telephone_number": "817-469-6739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "31 Bell Rock Plz Ste A",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863519099",
            "country_code": "US",
            "telephone_number": "928-534-3425",
            "fax_number": "877-734-1039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "E HOSPICE GROUP OF ARIZONA NO 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-469-6739"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANGELS CARE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ANGELS CARE HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Prescott, AZ

Sources for this page

Verify at the official NPI Registry.