# HEAVENLY HOME HEALTH CARE, INC.

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

## Provider details

- **NPI number:** 1669657821
- **Authorized official:** VARTAN DERMENDJIAN (CEO)
- **Authorized official phone:** (323) 662-7071

## Contact information

- **Practice address:** 3200 W BURBANK BLVD STE 100, BURBANK, CA 91505-2201
- **Practice address phone:** (323) 662-7071
- **Practice address fax:** (323) 662-0189
- **Mailing address:** 4430 SANTA MONICA BLVD, SUITE 201, LOS ANGELES, CA 90029-2014
- **Mailing address phone:** (323) 662-7071
- **Mailing address fax:** (323) 662-0189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 550000279 | CA | Yes |

## Other

- **Enumeration date:** 01/07/2008
- **Last updated:** 11/14/2018