MEDICARE: MERCY VILLA HOSPICE,INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251G00000X	Community Based Hospice Care Agency

General Provider Information

NPI Number	:	1770184814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY VILLA HOSPICE,INC.

Provider Business Mailing Address
First Line	:	9700 RESEDA BLVD STE 100
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-2025
Country	:	US
Telephone Number	:	818-651-7595
Fax Number	:	818-688-3844

Provider Business Practice Location Address
First Line	:	9700 RESEDA BLVD STE 100
Second Line	:
City	:	NORTHRIDGE
State	:	CA
Zip	:	91324-2025
Country	:	US
Telephone Number	:	818-651-7595
Fax Number	:	818-688-3844

Authorized Official
Title or Position	:	CEO
Name	:	MR. ARSEN NADZHARYAN
Credential	:
Telephone Number	:	818-651-7595

Provider Enumeration Date	:	11/05/2020
Last Update Date	:	12/02/2025

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Directions to “MERCY VILLA HOSPICE,INC. ” Practice Location

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