Active NPI
Heavenly Hospice Care Inc
- Community Based Hospice Care Agency
- Palmdale, CA
National Provider Identifier
1699193052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- HEAVENLY HOSPICE CARE INC
- Practice address
- 514 Commerce Ave Ste G
Palmdale, CA 93551-3799 - Phone
- (818) 666-4015
- Fax
- (661) 206-8415
- NPI assigned
- Apr 2, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Marlene Gonzalez, RN
- Title
- Ceo/DPCS
- Phone
- (818) 666-4015
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
514 Commerce Ave Ste G
Palmdale, CA 93551-3799
Mailing address
514 Commerce Ave Ste G
Palmdale, CA 93551-3799
Phone (818) 666-4015
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2158814 | Heavenly Hospice Care, Inc | Certificate of waiver | Dec 5, 2026 |
National Provider Directory
National Provider DirectoryLocations
1805 W Avenue K
Ste 202
Lancaster, CA 93534
Phone (818) 497-8177
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396396800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765756800000",
"number": "1699193052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "514 COMMERCE AVE STE G",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513799",
"telephone_number": "818-666-4015",
"fax_number": "661-206-8415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 COMMERCE AVE STE G",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935513799",
"telephone_number": "818-666-4015",
"fax_number": "661-206-8415"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY HOSPICE CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-04-02",
"last_updated": "2025-12-15",
"certification_date": "2025-12-15",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "MARLENE",
"authorized_official_title_or_position": "CEO/DPCS",
"authorized_official_telephone_number": "818-666-4015",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.