OrganizationHealing Haven Ancillary Services, LlcOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address30821 Barrington St, Madison Hts, MI 48071-1871(248) 965-3916PECOS EnrollmentBased on the most recent information from CMS, provider Healing Haven Ancillary Services, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1063101384Provider TypeOrganizationFull NameHealing Haven Ancillary Services, LlcSubpartNoEnumeration Date5/3/2023Last Updated1/30/2025Contact InformationPractice LocationPractice Address30821 Barrington St, Madison Hts, MI 48071-1871Phone(248) 965-3916FaxUnlisted FaxMailing LocationMailing Address30821 Barrington St, Madison Hts, MI 48071-1871Phone(248) 965-3916FaxUnlisted FaxAuthorized OfficialNameMcgillivary, Jamie (Ceo)Phone(248) 965-3916Provider TaxonomiesCodeDescriptionLicenseCode225XP0200XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerCode235Z00000XDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicenseUnlisted Issuer