Active NPI
Heavenly Gates Hospice, Inc.
- Home Health Agency
- Simi Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HEAVENLY GATES HOSPICE, INC.
- Practice address
- 1720 E Los Angeles Ave
Suite 230-232
Simi Valley, CA 93065-2033 - Phone
- (805) 522-5512
- Fax
- (805) 522-5517
- NPI assigned
- Nov 22, 2014
- Last updated
- Nov 22, 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
- Mrs. Armine Chalabian
- Title
- Ceo
- Phone
- (805) 522-5512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
1720 E Los Angeles Ave
Suite 230-232
Simi Valley, CA 93065-2033
Mailing address
1720 E Los Angeles Ave
Suite 230-232
Simi Valley, CA 93065-2033
Phone (805) 522-5512
Care Compare: Hospice
Medicare Care Compare- Listed as
- Heavenly Gates Hospice, Inc
- Ownership
- For-Profit
- Certified
- Feb 24, 2017
- Medicare certification status
- Terminated Voluntary: merger or closure, Apr 10, 2026
Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).
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 |
|---|---|---|---|
| 05D2102191 | Heavenly Gates Hospice, Inc | Certificate of waiver | Sep 16, 2027 |
National Provider Directory
National Provider DirectoryLocations
1720 E Los Angeles Ave
#230232
Simi Valley, CA 93065
Phone (805) 522-5512
1720 E Los Angeles Ave
Ste 230232
Simi Valley, CA 93065
Phone (805) 522-5512
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1416614400000",
"number": "1780081554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 E LOS ANGELES AVE",
"address_2": "SUITE 230-232",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652033",
"telephone_number": "805-522-5512",
"fax_number": "805-522-5517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E LOS ANGELES AVE",
"address_2": "SUITE 230-232",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930652033",
"telephone_number": "805-522-5512",
"fax_number": "805-522-5517"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEAVENLY GATES HOSPICE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-11-22",
"last_updated": "2014-11-22",
"status": "A",
"authorized_official_last_name": "CHALABIAN",
"authorized_official_first_name": "ARMINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "805-522-5512",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2014; 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.