HA
Adult Day Social/Health Care
HEAVENLY ADHC
4777 SANTA MONICA BLVD, LOS ANGELES, CA 90029
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- Not reported
- LTC
- NON-LTC
- NPI
- Not reported
- ZIP
- 90029
- id
- 12531
- CITY
- LOS ANGELES
- FLAG
- Not reported
- ZIP9
- 2631
- AO CD
- Not reported
- FACID
- 630027266
- DEEMED
- Not reported
- T18 19
- Not reported
- ADDRESS
- 4777 SANTA MONICA BLVD
- AO NAME
- Not reported
- FACNAME
- HEAVENLY ADHC
- FAC FDR
- ADULT DAY HEALTH CARE
- HCAI ID
- Not reported
- CAPACITY
- 0
- LATITUDE
- 34.0911723
- LOCATION
- (-118.2933836,34.0911723)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- Y
- LONGITUDE
- -118.2933836
- CCLHO CODE
- 19
- CCLHO NAME
- LOS ANGELES
- START DATE
- Not reported
- TRAUMA CTR
- Not reported
- ASPEN FACID
- 630027266
- COUNTY CODE
- 200
- COUNTY NAME
- LOS ANGELES
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- Not reported
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- Not reported
- BUSINESS NAME
- HEAVENLY ADHC INC.
- DISTRICT NAME
- ORANGE
- FAC TYPE CODE
- ADHC
- LICENSE NUMBER
- 550009590
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 96
- FIPS COUNTY CODE
- 6037
- LICENSED CERTIFIED
- LICENSED ONLY
- PARTICIPATION DATE
- Not reported
- CONTACT PHONE NUMBER
- (323) 646-6929
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2025-01-13T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2026-01-13T00:00:00
- ENTITY TYPE DESCRIPTION
- PROFIT CORP
- LICENSE EXPIRATION DATE
- 2027-01-12T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- N
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- PARENT
COMMUNITY EXPERIENCE
Reviews of HEAVENLY ADHC
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