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HEALING HAVEN, LLC
NPI 1790110187
Clinic/Center - Developmental Disabilities in Madison Heights, MI

Active since September 05, 2013
30821 BARRINGTON ST, MADISON HEIGHTS, MI 48071(734) 355-2833(248) 331-9919 Get Directions Write a Review

NPPES record last updated: August 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2025, Mar 17, 2018, Jan 15, 2018 (3 updates tracked since 2018).

About Healing Haven, Llc NPPES

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

HEALING HAVEN, LLC (NPI 1790110187), doing business as Healing Haven, Pllc, is a healthcare organization registered as a developmental disabilities in Madison Heights, Michigan and active in the NPI registry since September 2013. The organization maintains 5 additional practice locations and lists Jamie Erin Mcgillivary, Owner, as its authorized official.

NPPES Registry Identity

NPI1790110187
Entity TypeOrganization
Primary Taxonomy261QD1600X
Legal Business NameHEALING HAVEN, LLC
Location Address30821 BARRINGTON STMadison Heights, MI 48071-1871
Mailing Address30821 Barrington StMadison Heights, MI 48071-1871 · (248) 965-3916
Phone(734) 355-2833
Fax(248) 331-9919
Organization SubpartNo
Authorized OfficialJamie Erin McgillivaryOwner · (734) 355-2833
Enumeration DateSeptember 5, 2013
Last NPPES UpdateAugust 17, 20253 updates tracked since enumeration
NPPES CertifiedAugust 17, 2025
✔ NPI 1790110187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Developmental DisabilitiesAmbulatory Health Care Facilities
Taxonomy Code261QD1600X
License✔ Licensed in MI · 6301011704
Definition
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Also ListedOccupational Therapist · PediatricsTaxonomy 225XP0200X
Also ListedSpeech-Language PathologistTaxonomy 235Z00000X
30821 BARRINGTON ST, Madison Heights, MI 48071
Open in Google Maps ↗

Other Names 1

Former Legal Business NameHealing Haven, Pllc

Secondary Practice Locations 5

Location 130755 Barrington StMadison Heights, MI 48071-1881 · Phone (248) 965-3916
Location 230685 Barrington StMadison Heights, MI 48071-5111 · Phone (248) 965-3916
Location 330701 Barrington St Ste 125Madison Heights, MI 48071-5107 · Phone (734) 355-2833
Location 431440 Northwestern Hwy Ste 180Farmington Hills, MI 48334-5422 · Phone (248) 965-3916
Location 515420 19 Mile RdClinton Township, MI 48038-6339 · Phone (248) 965-3916

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healing Haven, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to Healing Haven, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Dakota Theobald, OT
Occupational Therapist in Private Practice
NPI 1730763194
30821 BARRINGTON ST
Madison Heights, MI 48071
(248) 965-3916
Same address
Erin Cueter
Occupational Therapist in Private Practice
NPI 1609742295
30701 BARRINGTON ST STE 150
Madison Heights, MI 48071
(248) 965-3916
0.1 mi
Audrey Fleming
Qualified Speech Language Pathologist
NPI 1114890605
876 HORACE BROWN DR STE 101
Madison Heights, MI 48071
(248) 965-3916
0.2 mi
Kaylee Maust, SLP
Qualified Speech Language Pathologist
NPI 1669064929
876 HORACE BROWN DR
Madison Heights, MI 48071
(248) 965-3916
0.2 mi
Alexandria Engles-Catallo, CCC-SLP
Qualified Speech Language Pathologist
NPI 1982313003
38824 WINDMILL POINTE S
Clinton Township, MI 48038
(586) 879-9512
8.4 mi
Madeleine Byrnes
Qualified Speech Language Pathologist
NPI 1275101933
30100 TELEGRAPH RD STE 140
Bingham Farms, MI 48025
(248) 385-0030
8.8 mi
Meghan Lamb, CF-SLP
Qualified Speech Language Pathologist
NPI 1922849256
2045 E WEST MAPLE RD STE D407
Commerce Township, MI 48390
(810) 941-7043
20 mi
Ifra Maqsood
Occupational Therapist in Private Practice
NPI 1144027194
10272 TELEGRAPH RD STE B
Taylor, MI 48180
(734) 287-8009
✔ Accepts Medicare21 mi
Emma Baker
Occupational Therapist in Private Practice
NPI 1861123119
44670 ANN ARBOR RD W STE 130
Plymouth, MI 48170
(313) 278-4601
22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Healing Haven, LLC's NPI number?

The NPI number for Healing Haven, LLC is 1790110187. It was assigned to this organization in the NPPES registry on September 5, 2013. The provider was formerly known as Healing Haven, PLLC.

Where is Healing Haven, LLC located?

Healing Haven, LLC is located at 30821 Barrington St, Madison Heights, MI 48071. The listed phone number is (734) 355-2833.

What is Healing Haven, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Developmental Disabilities, with taxonomy code 261QD1600X.

Is Healing Haven, LLC enrolled in Medicare?

Yes. Healing Haven, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healing Haven, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 2 Medicare specialties reassign their Medicare billing to Healing Haven, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Qualified Speech Language Pathologist (5) and Occupational Therapist in Private Practice (4). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Healing Haven, LLC accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Oscar Insurance Company list Healing Haven, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Healing Haven, LLC was last updated on August 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.