Active NPI
Angel Wings Home Health Services LLC
- Home Health Agency
- Arlington, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ANGEL WINGS HOME HEALTH SERVICES LLC
- Practice address
- 1201 N Watson Rd Ste 187
Arlington, TX 76006-6225 - Phone
- (817) 853-6636
- Fax
- (817) 538-9508
- NPI assigned
- Feb 20, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dorothea Dian Lee, RPH
- Title
- Asst Administrator
- Phone
- (817) 583-6636
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
1201 N Watson Rd Ste 187
Arlington, TX 76006-6225
Mailing address
1201 N Watson Rd Ste 187
Arlington, TX 76006-6225
Phone (817) 853-6636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230914003861 | TX | Part A Provider - Home Health Agency | 4082078662 | Practice locations: Arlington, TX |
Home health agency certification: CCN 748122
- Legal name
- ANGEL WINGS HOME HEALTH SERVICES LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 21, 2024
- Last certification
- Jun 6, 2024
- Organization structure
- LLC
- Incorporated
- Jan 30, 2023 in TX
- Enrollment address
- 1201 N Watson Rd
Ste 187
Arlington, TX 76006-6225
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Angel Wings Home Health Services LLC
- Ownership
- -
- Certified
- Jun 21, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
1201 N Watson Rd
Ste 187B
Arlington, TX 76006
Ownership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Lonnie L Lewis | 5% Or Greater Direct Ownership Interest | Jan 30, 2023 | 75% |
| Dorothea Dian Lee | 5% Or Greater Direct Ownership Interest | Jan 30, 2023 | 25% |
| W-2 Managing Employee | Jan 30, 2023 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Pharmacist
- Flower Mound, TX
- NPI 1396066304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746921600000",
"number": "1891493722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 N WATSON RD STE 187",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760066225",
"telephone_number": "817-853-6636",
"fax_number": "817-538-9508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 N WATSON RD STE 187",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760066225",
"telephone_number": "817-853-6636",
"fax_number": "817-538-9508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANGEL WINGS HOME HEALTH SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-20",
"last_updated": "2025-05-11",
"certification_date": "2025-05-11",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "DOROTHEA",
"authorized_official_middle_name": "DIAN",
"authorized_official_title_or_position": "ASST ADMINISTRATOR",
"authorized_official_telephone_number": "817-583-6636",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.