Provider Demographics
NPI:1134729437
Name:MISSION HOME CARE SERVICES INC
Entity type:Organization
Organization Name:MISSION HOME CARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARAPETIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-968-4446
Mailing Address - Street 1:512 E WILSON AVE STE 402
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91206-4351
Mailing Address - Country:US
Mailing Address - Phone:818-968-4446
Mailing Address - Fax:
Practice Address - Street 1:512 E WILSON AVE STE 402
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91206-4351
Practice Address - Country:US
Practice Address - Phone:818-968-4446
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KASS HOLDINGS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-10-27
Last Update Date:2025-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health