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HEAVENLY ADHC, INC.
NPI 1679118475
Clinic/Center - Adult Day Care in Los Angeles, CA

Active since November 15, 2019CLIA 05D2324749 · Waiver
4777 SANTA MONICA BLVD, LOS ANGELES, CA 90029(323) 646-6929(213) 402-2005 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2025, Aug 7, 2020, Nov 15, 2019 (3 updates tracked since 2019).

About Heavenly Adhc, Inc. NPPES

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

HEAVENLY ADHC, INC. (NPI 1679118475) is a healthcare organization registered as an adult day care in Los Angeles, California and active in the NPI registry since November 2019. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Christina Kirikian, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679118475
Entity TypeOrganization
Primary Taxonomy261QA0600X
Legal Business NameHEAVENLY ADHC, INC.
Location Address4777 SANTA MONICA BLVDLos Angeles, CA 90029
Mailing Address4506 Kingswell AveLos Angeles, CA 90027 · (323) 646-6929 · Fax (213) 402-2005
Phone(323) 646-6929
Fax(213) 402-2005
Organization SubpartNo
Authorized OfficialChristina KirikianCeo · (323) 646-6929
Enumeration DateNovember 15, 2019
Last NPPES UpdateFebruary 25, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1679118475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Day CareAmbulatory Health Care Facilities
Taxonomy Code261QA0600X
4777 SANTA MONICA BLVD, Los Angeles, CA 90029
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2324749

Heavenly Adhc · Los Angeles, CA
Active · expires May 29, 2027
CLIA Number05D2324749
Laboratory TypeAdult Day Health Care
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorLuis E. Valle
Laboratory Phone(323) 646-6629
Laboratory LocationHeavenly Adhc4777 Santa Monica Blvd, Los Angeles, CA 90027
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Heavenly Adhc, Inc.'s NPI number?

The NPI number for Heavenly Adhc, Inc. is 1679118475. It was assigned to this organization in the NPPES registry on November 15, 2019.

Where is Heavenly Adhc, Inc. located?

Heavenly Adhc, Inc. is located at 4777 Santa Monica Blvd, Los Angeles, CA 90029. The listed phone number is (323) 646-6929.

What is Heavenly Adhc, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Day Care, with taxonomy code 261QA0600X.

Does Heavenly Adhc, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2324749) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heavenly Adhc, Inc. was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.