Organization Active NPI

Pacific Care Group, LLC

  • Home Health Agency
  • Woodland, CA
National Provider Identifier
1306305792
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PACIFIC CARE GROUP, LLC
Practice address
5955 De Soto Ave Ste 140
Woodland, CA 91367-5107
Phone
(818) 741-2541
Fax
(424) 208-1678
NPI assigned
Mar 15, 2019
Last updated
May 15, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Authorized official

Name
Mr. Mher Filmardirossian
Title
Ceo
Phone
(818) 741-2541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5955 De Soto Ave Ste 140
Woodland, CA 91367-5107

Mailing address

5955 De Soto Ave Ste 140
Woodland, CA 91367-5107
Phone (818) 741-2541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190808000168 CA Part A Provider - Home Health Agency 3173850583 Practice locations: Sherman Oaks, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306305792. Details of each certification follow.

Home health agency certification: CCN 559368

Legal name
PACIFIC CARE GROUP LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 10, 2020
Last certification
Dec 10, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Feb 12, 2019 in CA
Enrollment address
15300 Ventura Blvd
Ste 305
Sherman Oaks, CA 91403-3153

Care Compare: Home health agency

Medicare Care Compare
Listed as
Pacific Care Group LLCCCN 559368 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Dec 10, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1601 Carmen Dr
Ste 212B
Camarillo, CA 93010
Phone (805) 482-2273

15300 Ventura Blvd
Ste 305
Sherman Oaks, CA 91403
Phone (818) 741-2541

5955 De Soto Ave
Ste 140
Woodland Hills, CA 91367
Phone (818) 741-2541

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Mher Filmardirossian Individual 5% Or Greater Direct Ownership Interest Feb 12, 2019 100%
Corporate OfficerCeo, Cfo, Secretary,Board Member Feb 12, 2019 100%
Corporate DirectorCeo, Cfo, Secretary,Board Member Feb 12, 2019 100%
W-2 Managing EmployeeCeo, Cfo, Secretary,Board Member Feb 12, 2019 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1306305792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5955 DE SOTO AVE STE 140",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "913675107",
            "telephone_number": "818-741-2541",
            "fax_number": "424-208-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5955 DE SOTO AVE STE 140",
            "city": "WOODLAND",
            "state": "CA",
            "postal_code": "913675107",
            "telephone_number": "818-741-2541",
            "fax_number": "424-208-1678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC CARE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "FILMARDIROSSIAN",
        "authorized_official_first_name": "MHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-741-2541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland, CA

Sources for this page

Verify at the official NPI Registry.