Organization Active NPI

Heavens Lighthouse Hospice Inc

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1174197941
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEAVENS LIGHTHOUSE HOSPICE INC
Practice address
13609 Victory Blvd Ste 235
Van Nuys, CA 91401-6437
Phone
(818) 275-8399
NPI assigned
May 17, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anaise Aquino
Title
Ceo
Phone
(818) 275-8399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

13609 Victory Blvd Ste 235
Van Nuys, CA 91401-6437

Mailing address

13609 Victory Blvd Ste 235
Van Nuys, CA 91401-6437
Phone (818) 275-8399

National Provider Directory

National Provider Directory

Locations

13609 Victory Blvd
Ste 235
Van Nuys, CA 91401
Phone (818) 275-8399

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621209600000",
    "number": "1174197941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD STE 235",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016437",
            "telephone_number": "818-275-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13609 VICTORY BLVD STE 235",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914016437",
            "telephone_number": "818-275-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENS LIGHTHOUSE HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "ANAISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-275-8399"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.