HEAVENLY ADHC, INC. – NPI #1679118475
Clinic/Center

HEAVENLY ADHC, INC. is an AHC clinic located in LOS ANGELES, CA. NPPES has assigned the NPI number 1679118475 to HEAVENLY ADHC, INC. on November 15, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care

The NPI profile was last updated on Feb 25, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HEAVENLY ADHC, INC. below.

NPI Profile for
HEAVENLY ADHC, INC.

NPI Number
1679118475
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HEAVENLY ADHC, INC.
Primary location
4777 SANTA MONICA BLVD
LOS ANGELES, CA 90029
Phone: (323) 646-6929 Fax: (213) 402-2005
Mailing address
4506 KINGSWELL AVE
LOS ANGELES, CA 90027
Phone: (323) 646-6929 Fax: (213) 402-2005
Organization Subpart
No
Authorized Official
CHRISTINA KIRIKIAN
CEO
Phone: (323) 646-6929
Updated
Certification Date
Feb 25, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.