HEALINGHAVEN HOME HEALTHCARE
NPI 1154103497
Home Health in San Diego, CA

Active since October 20, 2023CLIA 05D2337391 · Waiver
3111 CAMINO DEL RIO N STE 455, SAN DIEGO, CA 92108(619) 663-7999 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2024, Apr 10, 2024, Nov 3, 2023 and 1 more (4 updates tracked since 2023).

About Healinghaven Home Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALINGHAVEN HOME HEALTHCARE (NPI 1154103497) is a healthcare organization registered as a home health in San Diego, California and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Jum Michael Apostol, Owner, President, as its authorized official.

NPPES Registry Identity

NPI1154103497
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameHEALINGHAVEN HOME HEALTHCARE LLC
Location Address3111 CAMINO DEL RIO N STE 455San Diego, CA 92108-5720
Mailing Address3111 Camino Del Rio N Ste 455San Diego, CA 92108-5720
Organization SubpartNo
Authorized OfficialJum Michael ApostolOwner, President · (973) 771-8065
Enumeration DateOctober 20, 2023
Last NPPES UpdateNovember 13, 20244 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
NPI 1154103497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Also ListedIn Home Supportive CareTaxonomy 253Z00000X
3111 CAMINO DEL RIO N STE 455, San Diego, CA 92108

Other Names 1

Doing Business AsHealinghaven Home Healthcare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2337391

Healinghaven Home Healthcar LLC · San Diego, CA
Active · expires Jan 21, 2028
CLIA Number05D2337391
Laboratory TypeHome Health Agency
Certificate Effective DateJanuary 22, 2026
Certificate Expiration DateJanuary 21, 2028
Laboratory DirectorChukwuma Chimezie Osuagwu
Laboratory Phone(619) 663-7999
Laboratory LocationHealinghaven Home Healthcar LLC3111 Camino Del Rio N Ste 455, San Diego, CA 92108
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healinghaven Home Healthcare LLC's NPI number?

The NPI number for Healinghaven Home Healthcare LLC is 1154103497. It was assigned to this organization in the NPPES registry on October 20, 2023. The provider is doing business as Healinghaven Home Healthcare.

Where is Healinghaven Home Healthcare LLC located?

Healinghaven Home Healthcare LLC is located at 3111 Camino Del Rio N Ste 455, San Diego, CA 92108. The listed phone number is (619) 663-7999.

What is Healinghaven Home Healthcare LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Healinghaven Home Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2337391) is associated with this NPI, valid through January 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Healinghaven Home Healthcare LLC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.