NPIMap

Organization Active NPI

Angel of Mercy Home Health Care

  • Home Health Agency
  • Glendale, CA
National Provider Identifier
1306379383
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ANGEL OF MERCY HOME HEALTH CARE
Practice address
1110 Sonora Ave Ste 102
Glendale, CA 91201-3166
Phone
(818) 937-9440
Fax
(818) 937-9441
NPI assigned
Apr 6, 2017
Last updated
Mar 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Authorized official

Name
Mr. Grand Oganesyan
Title
Ceo
Phone
(818) 937-9440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1110 Sonora Ave Ste 102
Glendale, CA 91201-3166

Mailing address

1110 Sonora Ave Ste 102
Glendale, CA 91201-3166
Phone (818) 937-9440

Other identifiers 1

IdentifierTypeStateIssuer
550004502OtherCACA LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170705002770 CA Part A Provider - Home Health Agency 7719256817 Practice locations: Glendale, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306379383. Details of each certification follow.

Home health agency certification: CCN 559100

Legal name
ANGEL OF MERCY HOME HEALTH CARE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 25, 2019
Last certification
Oct 25, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
1110 Sonora Ave
Ste 102
Glendale, CA 91201-3166

Care Compare: Home health agency

Medicare Care Compare
Listed as
Angel of Mercy Home Health CareCCN 559100 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Oct 25, 2019
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2324385Angel of Mercy Home Health Care1110 Sonora Ave Ste #102, Glendale, CA 91201Certificate of waiverMay 21, 2027

National Provider Directory

National Provider Directory

Locations

1110 Sonora Ave
Ste 102
Glendale, CA 91201
Phone (818) 937-9440

3357 Cahuenga Blvd W
#45
Los Angeles, CA 90068
Phone (323) 798-4621

3357 Cahuenga Blvd W
Ste 45
Los Angeles, CA 90068

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
Armine Tagaryan Individual Contracted Managing EmployeeAd;DPCS Apr 14, 2026
Grand Oganesyan Individual 5% Or Greater Direct Ownership Interest Apr 25, 2024 100%
Corporate Officer Apr 25, 2024 100%
Corporate DirectorPresident Apr 25, 2024

Practitioners & affiliated clinicians

Affiliated clinicians 11

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": "1491436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773273600000",
    "number": "1306379383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 SONORA AVE STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013166",
            "telephone_number": "818-937-9440",
            "fax_number": "818-937-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 SONORA AVE STE 102",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912013166",
            "telephone_number": "818-937-9440",
            "fax_number": "818-937-9441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL OF MERCY HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-06",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A",
        "authorized_official_last_name": "OGANESYAN",
        "authorized_official_first_name": "GRAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-937-9440",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "550004502",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.