Heavenly Garden Home Health Care Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEAVENLY GARDEN HOME HEALTH CARE INC

Practice address

2625 Townsgate Rd Ste 330
Westlake Village, CA 91361-5749

Phone

(805) 980-7838

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Azatui Damlakyan

Title

Ceo

Phone

(805) 980-7838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 758009

Legal name

HEAVENLY GARDEN HOME HEALTH CARE INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Apr 17, 2025

Last certification

Apr 4, 2025

Organization structure

CorporationProprietary

Enrollment address

2625 Townsgate Rd
Ste 330
Westlake Village, CA 91361-5749

Listed as

Heavenly Garden Home Health Care IncCCN 758009

Ownership

-

Certified

Apr 17, 2025

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1194485359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 TOWNSGATE RD STE 330",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 TOWNSGATE RD STE 330",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615749",
            "telephone_number": "805-980-7838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAVENLY GARDEN HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "DAMLAKYAN",
        "authorized_official_first_name": "AZATUI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-980-7838"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Westlake Village, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.