Healthcare Provider Details

I. General information

NPI: 1639939283
Provider Name (Legal Business Name): HEALING HAVEN HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2024
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 WOODMONT LN NW # 3000
ATLANTA GA
30318-2866
US

IV. Provider business mailing address

1441 WOODMONT LN NW # 3000
ATLANTA GA
30318-2866
US

V. Phone/Fax

Practice location:
  • Phone: 470-945-2108
  • Fax:
Mailing address:
  • Phone: 470-945-2108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. LACIANA M. ARRINGTON
Title or Position: CEO
Credential: RN
Phone: 215-255-5038