Active NPI
Mission Home Care Services Inc
- Home Health Agency
- Glendale, CA
National Provider Identifier
1134729437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MISSION HOME CARE SERVICES INC
- Practice address
- 512 E Wilson Ave Ste 402
Glendale, CA 91206-4351 - Phone
- (818) 968-4446
- NPI assigned
- Oct 27, 2020
- Organization subpart
- Yes
- Parent organization
- KASS HOLDINGS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angelica Garapetian
- Title
- Ceo
- Phone
- (818) 968-4446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
512 E Wilson Ave Ste 402
Glendale, CA 91206-4351
Mailing address
512 E Wilson Ave Ste 402
Glendale, CA 91206-4351
Phone (818) 968-4446
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201224000027 | CA | Part A Provider - Home Health Agency | 4385056944 | Practice locations: Glendale, CA |
Home health agency certification: CCN 753185
- Legal name
- MISSION HOME CARE SERVICES INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 24, 2022
- Last certification
- May 24, 2022
- Organization structure
- Corporation
- Incorporated
- Jul 22, 2020 in CA
- Enrollment address
- 512 E Wilson Ave
Ste 402
Glendale, CA 91206-4351
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Mission Home Care Services, Inc.
- Overall star rating
- Ownership
- -
- Certified
- May 24, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
4119 W Burbank Blvd
Ste 188
Burbank, CA 91505
Phone (818) 968-4474
512 E Wilson Ave
Ste 402
Glendale, CA 91206
Phone (818) 968-4446
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Kass Holdings Inc | 5% Or Greater Direct Ownership Interest | Aug 31, 2020 | 100% |
| Angelica Garapetian | 5% Or Greater Indirect Ownership Interest | Jul 22, 2020 | 100% |
| Corporate Officer | Jul 22, 2020 | ||
| Corporate Director | Jul 22, 2020 | ||
| W-2 Managing Employee | Jul 22, 2020 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603756800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1739318400000",
"number": "1134729437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 E WILSON AVE STE 402",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064351",
"telephone_number": "818-968-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 E WILSON AVE STE 402",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912064351",
"telephone_number": "818-968-4446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION HOME CARE SERVICES INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "KASS HOLDINGS INC",
"enumeration_date": "2020-10-27",
"last_updated": "2025-02-12",
"certification_date": "2025-02-12",
"status": "A",
"authorized_official_last_name": "GARAPETIAN",
"authorized_official_first_name": "ANGELICA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-968-4446"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Michael Misetich
- Christelle Miskinian
- Missagh Pezeshkian, D.D. S., a Professional Corporation
- Mission City Community Network Inc.
- Mission City Community Network, Inc.
- Mission Pharmacy and Medical Supplies Inc.
- Raffi Vartan Missirian
- Clinton Aaron Mitchell, PA-C
- Johnny Lee Mitchell Jr., LCSW
- Marques Mitchell
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.