Healinghaven Healthcare Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HEALINGHAVEN HEALTHCARE INC

Practice address

2717 Cottage Way Ste 14
Sacramento, CA 95825-1222

Phone

(916) 541-9923

NPI assigned

Jun 5, 2023

Last updated

Aug 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Aleksandr Petrosyan

Title

Ceo

Phone

(916) 541-9923

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1669166765. Details of each certification follow.

• CCN 758093 Home health agency · Active · Details

Home health agency certification: CCN 758093

Legal name

HEALINGHAVEN HEALTHCARE INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 6, 2025

Last certification

Jul 22, 2025

Organization structure

CorporationProprietary

Incorporated

May 23, 2023 in CA

Enrollment address

2717 Cottage Way
Ste 14
Sacramento, CA 95825-1222
HHA Branch

Listed as

Healinghaven Healthcare, IncCCN 758093 · All quality measures

Ownership

-

Certified

Aug 6, 2025

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1669166765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 COTTAGE WAY STE 14",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251222",
            "telephone_number": "916-541-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 COTTAGE WAY STE 14",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958251222",
            "telephone_number": "916-541-9923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALINGHAVEN HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "PETROSYAN",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "916-541-9923"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.