Mercury Hospice Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

MERCURY HOSPICE INC

Practice address

15500 Erwin St Ste 4010
Van Nuys, CA 91411-9100

Phone

(818) 582-3814

Fax

(818) 582-3818

NPI assigned

Feb 4, 2020

Last updated

Feb 4, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melsik Baghdasaryan

Title

Ceo

Phone

(818) 582-3814

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1710519178. Details of each certification follow.

• CCN D61500 Hospice · Active · Details

Hospice certification: CCN D61500

Legal name

MERCURY HOSPICE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 6, 2024

Last certification

May 6, 2024

Organization structure

CorporationProprietary

Incorporated

Oct 12, 2019 in CA

Enrollment address

15500 Erwin St
Ste 4010
Van Nuys, CA 91411-9100

Listed as

Mercury Hospice, IncCCN D61500 · All quality measures

Certified

May 6, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 4

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Philip Kim, MD

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1356781132

  W-2 Managing Employee

  CMS ownership
• Anna Martirosyan

  • Nurse Practitioner
  • Glendale, CA
  • NPI 1215817036

  W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip Kim, MD

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1356781132
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Philip Kim, MD

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1356781132

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580774400000",
    "number": "1710519178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15500 ERWIN ST STE 4010",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914119100",
            "telephone_number": "818-582-3814",
            "fax_number": "818-582-3818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15500 ERWIN ST STE 4010",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914119100",
            "telephone_number": "818-582-3814",
            "fax_number": "818-582-3818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCURY HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A",
        "authorized_official_last_name": "BAGHDASARYAN",
        "authorized_official_first_name": "MELSIK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-582-3814"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberto Emiliano Meraz Nunez, PA
• Sharon Anne Mercadal-Rizzo, M.H. COUNCILOR II
• Francisca Mercado-Tovar
• Rosadelia Mercado
• Merciful Hospice Inc
• Mercy Home Health Care Services, Inc.
• Meridian Home Health Care, Inc.
• Rose Mary Merino
• Christopher Merkle
• Merli Home Health Inc

• Community Based Hospice Care Agency in Van Nuys, CA
• Providers in Van Nuys, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.

Verify at the official NPI Registry.