NPIMap

Organization Active NPI

Home Nursing Company, Inc.

  • Community Based Hospice Care Agency
  • Lebanon, VA
National Provider Identifier
1891890208
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
HSP-06135 Issued in VA
Legal business name
HOME NURSING COMPANY, INC.
Practice address
1114 E Main St Ste 3
Lebanon, VA 24266-5014
Phone
(276) 268-3323
NPI assigned
Sep 13, 2006
Last updated
Dec 18, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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 HSP-06135 VA Primary

Addresses

Primary practice location

1114 E Main St Ste 3
Lebanon, VA 24266-5014

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
HSP-06135OtherVALICENSE NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060913000603 VA Part A Provider - Hospice 0941118707 Practice locations: Lebanon, VA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891890208. Details of each certification follow.

Hospice certification: CCN 491588

Legal name
HOME NURSING COMPANY, INC
Doing business as
ANGELS CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Nov 7, 2006
Last certification
Mar 31, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Nov 11, 1987 in VA
Enrollment address
1114 E Main Street
Ste 3
Lebanon, VA 24266-3438

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Home Nursing Company IncCCN 491588 · All quality measures
Ownership
For-Profit
Certified
Nov 7, 2006
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
49D2325080Angels Care Hospice1114 E Main Street Suite 3, Lebanon, VA 24266Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

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 Aug 1, 2024
Corporate DirectorChief Financial Officer Aug 1, 2024
Angela W Eddins Individual 5% Or Greater Indirect Ownership InterestBoard Member Aug 1, 2024 50%
Corporate DirectorBoard Member Aug 1, 2024
Mark a Eddins Individual 5% Or Greater Indirect Ownership InterestBoard Member Aug 1, 2024 50%
Corporate DirectorBoard Member Aug 1, 2024
Acsk Home Care, Inc. Organization, Mansfield, TX Corporation 5% Or Greater Direct Ownership Interest Aug 1, 2024 100%
Cindy M Godfrey Individual W-2 Managing EmployeeCompliance Officer Aug 1, 2024

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 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": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1891890208",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 E MAIN ST STE 3",
            "city": "LEBANON",
            "state": "VA",
            "postal_code": "242665014",
            "telephone_number": "276-268-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME NURSING COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "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": "VA",
            "license": "HSP-06135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "HSP-06135",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, VA

Sources for this page

Verify at the official NPI Registry.