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HEAVEN HOSPICE, INC.
NPI 1104158419
Hospice Care, Community Based in Van Nuys, CA

Active since February 11, 2010
14557 FRIAR ST STE B1, VAN NUYS, CA 91411(818) 508-4210(818) 508-4652 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 20, 2018 (2 updates tracked since 2018).

About Heaven Hospice, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEAVEN HOSPICE, INC. (NPI 1104158419) is a healthcare organization registered as a hospice care, community based in Van Nuys, California and active in the NPI registry since February 2010. The organization lists Roy Rubanenko, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104158419
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameHEAVEN HOSPICE, INC.
Location Address14557 FRIAR ST STE B1Van Nuys, CA 91411-2312
Mailing Address14557 Friar St Ste B1Van Nuys, CA 91411-2312 · (818) 508-4210 · Fax (818) 508-4652
Phone(818) 508-4210
Fax(818) 508-4652
Organization SubpartNo
Authorized OfficialRoy RubanenkoCeo · (818) 508-4210
Enumeration DateFebruary 11, 2010
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1104158419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
14557 FRIAR ST STE B1, Van Nuys, CA 91411
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heaven Hospice, Inc.'s NPI number?

The NPI number for Heaven Hospice, Inc. is 1104158419. It was assigned to this organization in the NPPES registry on February 11, 2010.

Where is Heaven Hospice, Inc. located?

Heaven Hospice, Inc. is located at 14557 Friar St Ste B1, Van Nuys, CA 91411. The listed phone number is (818) 508-4210.

What is Heaven Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

When was this NPI record last updated?

The NPPES record for Heaven Hospice, Inc. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.