Organization Active NPI

Mercy Villa Hospice,Inc.

  • Community Based Hospice Care Agency
  • Northridge, CA
National Provider Identifier
1770184814
Registry record updated Dec 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2025

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN B41708 · All quality measures
Certified
Aug 28, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
05D2295182Mercy Villa Hospice Inc9700 Reseda Blvd Suite 100, Northridge, CA 91324Certificate of waiverDec 5, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Jihan Pauline J Reynoso Individual W-2 Managing EmployeeDPCS/Administrator Aug 2, 2020
Arsen Nadzharyan Individual 5% Or Greater Direct Ownership InterestCeo Aug 2, 2020 100%
Corporate OfficerCeo Aug 2, 2020 100%
Corporate DirectorCeo 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.

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.

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

Verify at the official NPI Registry.