NPIMap

Organization Active NPI

Country Style Health Care Inc VII

Doing business as Angels Care Home Health VII

  • Home Health Agency
  • Poteau, OK
National Provider Identifier
1861494759
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC7672 Issued in OK
Legal business name
COUNTRY STYLE HEALTH CARE INC VII
Doing business as
Angels Care Home Health VII
Practice address
824 S Broadway St
Poteau, OK 74953-3834
Phone
(918) 647-5100
Fax
(918) 649-0532
NPI assigned
Aug 11, 2005
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Authorized official

Name
Angela Eddins
Title
President
Phone
(817) 539-2427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC7672 OK Primary

Addresses

Primary practice location

824 S Broadway St
Poteau, OK 74953-3834

Mailing address

2301 Highway 1187 Ste 203
Mansfield, TX 76063-6139
Phone (817) 539-2427

Other identifiers 1

IdentifierTypeStateIssuer
100262710AMedicaidOK

Other names 1

  • Angels Care Home Health VII Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111123000553 OK Part A Provider - Home Health Agency 1658545975 Practice locations: Broken Bow, OK; Poteau, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861494759. Details of each certification follow.

Home health agency certification: CCN 377627

Legal name
COUNTRY STYLE HEALTH CARE INC VII
Doing business as
ANGELS CARE HOME HEALTH VII
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 27, 2000
Last certification
Oct 16, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 26, 1999 in OK
Enrollment address
824 S Broadway St
Poteau, OK 74953-3834

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angels Care Home Health VIICCN 377627 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jan 27, 2000
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
37D0964064Angels Care Home Health VII824 S Broadway St, Poteau, OK 74953Certificate of waiverAug 17, 2027

National Provider Directory

National Provider Directory

Locations

1390 N Park Dr
Broken Bow, OK 74728
Phone (580) 584-7737

113 W 1st St
Heavener, OK 74937
Phone (918) 653-7104

902 E Jackson St
Hugo, OK 74743
Phone (580) 326-7246

105 S Walter St
Poteau, OK 74953

824 S Broadway St
Poteau, OK 74953
Phone (918) 647-5100

113 N Main St
Red Oak, OK 74563
Phone (918) 754-2908

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 OfficerChief Financial Officer Sep 26, 2024
Angela W Eddins Individual 5% Or Greater Indirect Ownership InterestBoard Member/ President Sep 26, 2024 50%
Corporate DirectorBoard Member/ President Sep 26, 2024
Mark a Eddins Individual 5% Or Greater Indirect Ownership InterestBoard Member/ President Sep 26, 2024 50%
Corporate DirectorBoard Member/ President Sep 26, 2024
Victoria Herrera Individual W-2 Managing EmployeeAlt Don Sep 26, 2024
Cindy M Godfrey Individual W-2 Managing EmployeeCompliance Officer Sep 26, 2024
Brandy Frachiseur Individual W-2 Managing EmployeeDon Nov 16, 2025
Acsk Hospice Inc Organization, Mansfield, TX Corporation 5% Or Greater Direct Ownership Interest Sep 26, 2024 100%
Marlow Bailey Individual W-2 Managing EmployeeAd; Oct 5, 2011
Kristin King Individual W-2 Managing EmployeeAlt Admin Sep 26, 2024

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 11

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": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1861494759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 HIGHWAY 1187 STE 203",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636139",
            "telephone_number": "817-539-2427",
            "fax_number": "817-549-4150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 S BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749533834",
            "telephone_number": "918-647-5100",
            "fax_number": "918-649-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRY STYLE HEALTH CARE INC VII",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "EDDINS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-539-2427"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "HC7672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100262710A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angels Care Home Health VII",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Poteau, OK

Sources for this page

Verify at the official NPI Registry.