# BLUE HEAVEN HOSPICE & PALLIATIVE CARE INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518108950
- **Authorized official:** MR. EDWARD JOUHARYAN I (ADMINISTRATOR)
- **Authorized official phone:** (626) 628-2826

## Contact information

- **Practice address:** 2117 LAKE AVE, 102, ALTADENA, CA 91001-2462
- **Practice address phone:** (626) 628-0826
- **Practice address fax:** (626) 628-0827
- **Mailing address:** 2117 LAKE AVE, 102, ALTADENA, CA 91001-2462
- **Mailing address phone:** (626) 628-0826
- **Mailing address fax:** (626) 628-0827

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 03/16/2009
- **Last updated:** 04/11/2012