Organization Active NPI

Mission Home Care Services Inc

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1134729437
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 753185
Overall star rating
3.5 of 5
Ownership
-
Certified
May 24, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Kass Holdings Inc Organization, Tujunga, CA Corporation 5% Or Greater Direct Ownership Interest Aug 31, 2020 100%
Angelica Garapetian Individual 5% Or Greater Indirect Ownership InterestCeo/President/Cfo/Secretary Jul 22, 2020 100%
Corporate OfficerCeo/President/Cfo/Secretary Jul 22, 2020
Corporate DirectorCeo/President/Cfo/Secretary Jul 22, 2020
W-2 Managing EmployeeCeo/President/Cfo/Secretary 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

Sources for this page

Verify at the official NPI Registry.