Healing Haven, LLC
NPI 1790110187 · Developmental Disabilities Clinic/Center · Madison Heights, MI
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Healing Haven, LLC is a Developmental Disabilities Clinic/Center organization in Madison Heights, MI (NPI 1790110187).
Provider details
- NPI number
- 1790110187
- Entity type
- Organization
- Primary specialty
- Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jamie Mcgillivary, Owner(734) 355-2833
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pediatric Occupational Therapist225XP0200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
6 documented practice locations
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
Mailing address
Other names (DBA / former)
- Former legal business name
- Healing Haven, PLLC
Additional practice locations (5)
- 15420 19 Mile RdClinton Township, MI 48038-6339Phone: (248) 965-3916
- 31440 Northwestern Hwy Ste 180Farmington Hills, MI 48334-5422Phone: (248) 965-3916
- 30685 Barrington StMadison Heights, MI 48071-5111Phone: (248) 965-3916
- 30755 Barrington StMadison Heights, MI 48071-1881Phone: (248) 965-3916
- 30701 Barrington St Ste 125Madison Heights, MI 48071-5107Phone: (734) 355-2833
Registry dates
- Enumerated
- 2013-09-05
- Last updated
- 2025-08-17
- Certified
- 2025-08-17
Frequently asked questions
- What is Healing Haven, LLC's NPI number?
- Healing Haven, LLC's National Provider Identifier (NPI) is 1790110187, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healing Haven, LLC?
- Healing Haven, LLC is classified in the NPPES registry as Developmental Disabilities Clinic/Center (Ambulatory Health Care Facilities).
- Where is Healing Haven, LLC located?
- Healing Haven, LLC's practice location on file with NPPES is 30821 Barrington St, Madison Heights, MI 48071-1871.
- What is Healing Haven, LLC's phone number?
- The practice phone number listed in the NPPES registry for Healing Haven, LLC is (734) 355-2833.
- Does Healing Haven, LLC accept Medicare?
- Healing Haven, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Healing Haven, LLC?
- The authorized official listed on Healing Haven, LLC's NPPES record is Jamie Mcgillivary, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healing Haven, LLC's NPI active?
- Yes — Healing Haven, LLC's NPI (1790110187) is active in the NPPES registry as of the last update on 2025-08-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.