OrganizationHeavenly Home Health Care, Inc.Home HealthAgenciesPractice Address3200 W Burbank Blvd Ste 100, Burbank, CA 91505-2201(323) 662-7071PECOS EnrollmentBased on the most recent information from CMS, provider Heavenly Home Health Care, Inc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1669657821Provider TypeOrganizationFull NameHeavenly Home Health Care, Inc.SubpartNoEnumeration Date1/7/2008Last Updated11/14/2018Contact InformationPractice LocationPractice Address3200 W Burbank Blvd Ste 100, Burbank, CA 91505-2201Phone(323) 662-7071Fax(323) 662-0189Mailing LocationMailing Address4430 Santa Monica Blvd, Suite 201, Los Angeles, CA 90029-2014Phone(323) 662-7071Fax(323) 662-0189Authorized OfficialNameDermendjian, Vartan (Ceo)Phone(323) 662-7071Provider TaxonomiesCodeDescriptionLicenseCode251E00000XPrimaryDescriptionHome HealthAgenciesLicense550000279California