Organization Active NPI

Angel Wings Home Health Services LLC

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1891493722
Registry record updated May 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on May 11, 2025

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

Authorized official

Name
Dorothea Dian Lee, RPHNPI 1396066304
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Jan 30, 2023 in TX
Enrollment address
1201 N Watson Rd
Ste 187
Arlington, TX 76006-6225
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angel Wings Home Health Services LLCCCN 748122
Ownership
-
Certified
Jun 21, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Lonnie L Lewis Individual 5% Or Greater Direct Ownership InterestCeo Jan 30, 2023 75%
Dorothea Dian Lee Individual 5% Or Greater Direct Ownership InterestAsst Administrator Jan 30, 2023 25%
W-2 Managing EmployeeAsst Administrator 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.

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

Verify at the official NPI Registry.