Healing Haven, Llc is a medicare enrolled "Clinic/center - Developmental Disabilities" provider in Madison Heights, Michigan. Their current practice location is
30821 Barrington St, Madison Heights, Michigan. You can reach out to their office (for appointments etc.) via phone at
(734) 355-2833.
Healing Haven, Llc is licensed to practice in Michigan (license number 6301011704) and it also participates in the medicare program. Healing Haven, Llc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1790110187.
Healthcare Provider's Profile
| Full Name | Healing Haven, Llc |
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| Type | Facility |
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| Speciality | Clinic/center - Developmental Disabilities |
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| Location | 30821 Barrington St, Madison Heights, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1790110187
- Provider Enumeration Date: 09/05/2013
- Last Update Date: 03/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 9537429113
- Enrollment ID: O20180130000195
Medical Identifiers
Medical identifiers for Healing Haven, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790110187 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 261QD1600X | Clinic/center - Developmental Disabilities | 6301011704 (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Healing Haven, Llc acts as a billing entity for following providers:
| Provider Name | Julia L Rauch |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1053776260
PECOS PAC ID: 2961762638
Enrollment ID: I20180129002155 |
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| Provider Name | Amanda Claire Alfery |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1710540828
PECOS PAC ID: 0648512673
Enrollment ID: I20190423002155 |
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| Provider Name | Jordan Elizabeth Gardner |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1073960472
PECOS PAC ID: 6103292834
Enrollment ID: I20221020000444 |
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| Provider Name | Madison Gildner |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1811695208
PECOS PAC ID: 8729443023
Enrollment ID: I20230419002758 |
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| Provider Name | Alexys Lorraine Anderson |
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| Provider Type | Practitioner - Occupational Therapist In Private Practice |
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| Provider Identifiers | NPI Number: 1558129460
PECOS PAC ID: 8224476825
Enrollment ID: I20240402001440 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Healing Haven, Llc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Healing Haven, Llc
2583 Sunnyknoll Ave,
Berkley, MI 48072-1530
Ph: (734) 355-2833 | Healing Haven, Llc
30821 Barrington St,
Madison Heights, MI 48071-1871
Ph: (734) 355-2833 |
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