| Organization Name: | HEAVENLY HOSPICE INC. |
| NPI Number: | 1558599308 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ELIZA E KYABABCHYAN (CEO) |
| Mailing Address: | 2500 Wilshire Blvd #818 Los Angeles |
| State: | CA US |
| Postal Code: | 90057 |
| Phone Number: | 2133863067 |
| Fax Number: | 2133865803 |
| NPI Enumeration Date: | 06/30/2009 |
| NPI Last Update Date: | 06/30/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 0002448272-0001-4 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |