Active NPI
Mercy Villa Hospice,Inc.
- Community Based Hospice Care Agency
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- MERCY VILLA HOSPICE,INC.
- Practice address
- 9700 Reseda Blvd Ste 100
Northridge, CA 91324-2025 - Phone
- (818) 651-7595
- Fax
- (818) 688-3844
- NPI assigned
- Nov 5, 2020
- Last updated
- Dec 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Arsen Nadzharyan
- Title
- Ceo
- Phone
- (818) 651-7595
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
9700 Reseda Blvd Ste 100
Northridge, CA 91324-2025
Mailing address
9700 Reseda Blvd Ste 100
Northridge, CA 91324-2025
Phone (818) 651-7595
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220124001215 | CA | Part A Provider - Hospice | 6103218219 | Practice locations: Northridge, CA |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1770184814. Details of each certification follow.
Hospice certification: CCN B41708
- Legal name
- MERCY VILLA HOSPICE INC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Aug 28, 2022
- Last certification
- Aug 28, 2022
- Ownership / control type
- Proprietary - Other
- Organization structure
- Corporation
- Incorporated
- Aug 2, 2020 in CA
- Enrollment address
- 9700 Reseda Blvd
Ste 100
Northridge, CA 91324-5519
Care Compare: Hospice
Medicare Care Compare- Listed as
- Mercy Villa Hospice, Inc.
- Certified
- Aug 28, 2022
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2295182 | Mercy Villa Hospice Inc | Certificate of waiver | Dec 5, 2027 |
National Provider Directory
National Provider DirectoryLocations
9700 Reseda Blvd
Ste 100
Northridge, CA 91324
Phone (818) 651-7595
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 |
|---|---|---|---|
| Jihan Pauline J Reynoso | W-2 Managing Employee | Aug 2, 2020 | |
| Arsen Nadzharyan | 5% Or Greater Direct Ownership Interest | Aug 2, 2020 | 100% |
| Corporate Officer | Aug 2, 2020 | 100% | |
| Corporate Director | Aug 2, 2020 | 100% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Family Nurse Practitioner
- Sylmar, CA
- NPI 1255878898
W-2 Managing Employee
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Sylmar, CA
- NPI 1255878898
Affiliated clinicians 2
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": "1604534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1764633600000",
"number": "1770184814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9700 RESEDA BLVD STE 100",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913242025",
"telephone_number": "818-651-7595",
"fax_number": "818-688-3844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 RESEDA BLVD STE 100",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913242025",
"telephone_number": "818-651-7595",
"fax_number": "818-688-3844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY VILLA HOSPICE,INC.",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-05",
"last_updated": "2025-12-02",
"certification_date": "2025-12-02",
"status": "A",
"authorized_official_last_name": "NADZHARYAN",
"authorized_official_first_name": "ARSEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "818-651-7595",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.