Organization Active NPI

Amici Care Management, LLC

Doing business as Amici Care

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1053840785
Registry record updated Aug 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMICI CARE MANAGEMENT, LLC
Doing business as
Amici Care
Amici Home Health Care
Practice address
1545 N Verdugo Rd Ste 108
Glendale, CA 91208-2858
Phone
(818) 422-3919
Fax
(855) 382-5717
NPI assigned
Jun 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2025

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

Authorized official

Name
Mr. Edward Mouradian
Title
Administrator
Phone
(747) 215-6714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1545 N Verdugo Rd Ste 108
Glendale, CA 91208-2858

Mailing address

1545 N Verdugo Rd Ste 108
Glendale, CA 91208-2858
Phone (747) 215-6714

Other names 2

  • Amici Care Doing business as
  • Amici Home Health Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230125000081 CA Part A Provider - Home Health Agency 9739550039 Practice locations: Glendale, CA

Home health agency certification: CCN 757714

Legal name
AMICI CARE MANAGEMENT LLC
Doing business as
AMICI CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 2024
Last certification
Jun 18, 2024
Organization structure
LLCProprietary
Incorporated
Sep 2, 2016 in CA
Enrollment address
1545 N Verdugo Rd
Ste 108
Glendale, CA 91208-2858

Care Compare: Home health agency

Medicare Care Compare
Listed as
Amici CareCCN 757714 ยท All quality measures
Ownership
-
Certified
Jul 1, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

501 W Glenoaks Blvd
#408
Glendale, CA 91202

1545 N Verdugo Rd
Ste 108
Glendale, CA 91208
Phone (747) 215-6714

1871 Colorado Blvd
Los Angeles, CA 90041

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
Diana Melkumyan Individual 5% Or Greater Direct Ownership InterestMember Jun 10, 2021 100%
Corporate OfficerDirector for Patient Care Services Dec 12, 2021 100%
W-2 Managing EmployeeRegistered Nurse May 1, 2022 100%
Edward Mouradian Individual Corporate OfficerChief Executive & Financial Officer Dec 12, 2021 100%
W-2 Managing EmployeeCeo, Cfo Dec 12, 2021 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755302400000",
    "number": "1053840785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 N VERDUGO RD STE 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082858",
            "telephone_number": "747-215-6714",
            "fax_number": "747-215-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 N VERDUGO RD STE 108",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912082858",
            "telephone_number": "818-422-3919",
            "fax_number": "855-382-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMICI CARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2025-08-16",
        "certification_date": "2025-08-16",
        "status": "A",
        "authorized_official_last_name": "MOURADIAN",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "747-215-6714",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amici Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Amici Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.