Provider Demographics
NPI:1306379383
Name:ANGEL OF MERCY HOME HEALTH CARE
Entity Type:Organization
Organization Name:ANGEL OF MERCY HOME HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:ARSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MKRTCHYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-624-6360
Mailing Address - Street 1:3357 CAHUENGA BLVD W
Mailing Address - Street 2:SUITE # 45
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1327
Mailing Address - Country:US
Mailing Address - Phone:818-624-6260
Mailing Address - Fax:818-556-3326
Practice Address - Street 1:3357 CAHUENGA BLVD W
Practice Address - Street 2:SUITE # 45
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1327
Practice Address - Country:US
Practice Address - Phone:818-624-6260
Practice Address - Fax:818-556-3326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health