Organization Active NPI

The Haven Homecare LLC

  • Home Health Agency
  • Glenn Dale, MD
National Provider Identifier
1609722164
Registry record updated Mar 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
THE HAVEN HOMECARE LLC
Practice address
12221 James Madison LN
Glenn Dale, MD 20769-9172
Phone
(301) 256-7258
NPI assigned
Mar 7, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Philomina Owusu-Ansah
Title
Ceo
Phone
(301) 256-7258

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

12221 James Madison LN
Glenn Dale, MD 20769-9172

Mailing address

12221 James Madison LN
Glenn Dale, MD 20769-9172
Phone (301) 256-7258

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772841600000",
    "number": "1609722164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 JAMES MADISON LN",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699172",
            "telephone_number": "301-256-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 JAMES MADISON LN",
            "city": "GLENN DALE",
            "state": "MD",
            "postal_code": "207699172",
            "telephone_number": "301-256-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-07",
        "last_updated": "2026-03-07",
        "certification_date": "2026-03-07",
        "status": "A",
        "authorized_official_last_name": "OWUSU-ANSAH",
        "authorized_official_first_name": "PHILOMINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-256-7258"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenn Dale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.