Provider Demographics
NPI:1568116275
Name:MERCY HOME HEALTH CARE SERVICES, INC.
Entity Type:Organization
Organization Name:MERCY HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:SONA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINASIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-821-4108
Mailing Address - Street 1:14545 FRIAR ST STE 222
Mailing Address - Street 2:
Mailing Address - City:VAN NUYS
Mailing Address - State:CA
Mailing Address - Zip Code:91411-4719
Mailing Address - Country:US
Mailing Address - Phone:818-821-4108
Mailing Address - Fax:888-522-6417
Practice Address - Street 1:14545 FRIAR ST STE 222
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91411-4719
Practice Address - Country:US
Practice Address - Phone:818-821-4108
Practice Address - Fax:888-522-6417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health