OrganizationActive
Heaven Hospice, Inc.
NPI 1104158419 · Community Based Hospice Care Agency · Van Nuys, CA
Heaven Hospice, Inc. is a Community Based Hospice Care Agency organization in Van Nuys, CA (NPI 1104158419).
Provider details
- NPI number
- 1104158419
- Entity type
- Organization
- Primary specialty
- Community Based Hospice Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Roy Rubanenko, Ceo(818) 508-4210
Specialties & taxonomies
Agencies
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
14557 Friar St Ste B1
Van Nuys, CA 91411-2312
Phone: (818) 508-4210
Fax: (818) 508-4652
Street-level locationGet directions
Mailing address
14557 Friar St Ste B1
Van Nuys, CA 91411-2312
Registry dates
- Enumerated
- 2010-02-11
- Last updated
- 2022-07-21
Frequently asked questions
- What is Heaven Hospice, Inc.'s NPI number?
- Heaven Hospice, Inc.'s National Provider Identifier (NPI) is 1104158419, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heaven Hospice, Inc.?
- Heaven Hospice, Inc. is classified in the NPPES registry as Community Based Hospice Care Agency (Agencies).
- Where is Heaven Hospice, Inc. located?
- Heaven Hospice, Inc.'s practice location on file with NPPES is 14557 Friar St Ste B1, Van Nuys, CA 91411-2312.
- What is Heaven Hospice, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Heaven Hospice, Inc. is (818) 508-4210.
- Who is the authorized official for Heaven Hospice, Inc.?
- The authorized official listed on Heaven Hospice, Inc.'s NPPES record is Roy Rubanenko, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heaven Hospice, Inc.'s NPI active?
- Yes — Heaven Hospice, Inc.'s NPI (1104158419) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.