Organization
ANGEL OF MERCY HOME HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAND OGANESYAN (CEO)
(818) 937-9440
Entity
Organization
Contact information
Practice address
1110 SONORA AVE STE 102, GLENDALE, CA 91201-3166
(818) 937-9440
(818) 937-9441
Mailing address
1110 SONORA AVE STE 102, GLENDALE, CA 91201-3166
(818) 937-9440
(818) 937-9441
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306379383
—
CA
01
—
550004502
CA LICENSE
CA
Enumeration date
04/06/2017
Last updated
03/12/2026
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