Organization Active NPI

Heavenly Gates Hospice, Inc.

  • Home Health Agency
  • Simi Valley, CA
National Provider Identifier
1780081554
Registry record updated Nov 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2014

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)CodeLicenseStatePrimary
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, IncCCN 921585
Ownership
For-Profit
Certified
Feb 24, 2017
Medicare certification status
Terminated Voluntary: merger or closure, Apr 10, 2026From the Provider of Services file

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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2102191Heavenly Gates Hospice, Inc1720 E Los Angeles Ave Ste 230, Simi Valley, CA 93065Certificate of waiverSep 16, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.