Havencare Nursing & Rehabilitation Center

LBN: Havencare Nursing & Rehabilitation Center
Havencare Nursing & Rehabilitation Center is an health care organization with primary practice located at 111 Ruthlynn Dr , Longview TX 75605-5635. The organization recently has 5 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Nursing Facility Supplies, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Havencare Nursing & Rehabilitation Center can be contacted via phone (903) 757-2557, or through Williams, Leroy via phone (281) 574-7495.

Contact Information

Primary practice address
111 Ruthlynn Dr Longview TX 75605-5635
Phone: (903) 757-2557
Fax: (903) 757-5709
Website:
Map and Directions
Authorized official contact:
Name: Williams, Leroy
Phone: (281) 574-7495

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 117214 Texas
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 117214 Texas
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 117214 Texas
Suppliers / Nursing Facility Supplies 332BN1400X 117214 Texas
Respite Care Facility / Respite Care 385H00000X 117214 Texas

Profile Details

NPI number 1912997222
LBN Legal business name Havencare Nursing & Rehabilitation Center
DBA Doing business as
Authorized official Williams, Leroy
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2005
Last updated Jul 6th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912997222 NPPES
Texas MEDICAID 171335602
Texas MEDICAID 171335601
Texas MEDICAID 001003942

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