HAVENCARE NURSING & REHABILITATION CENTER


Address: 111 Ruthlynn Dr, Longview, TX 75605-5635
Phone: 9037572557

HAVENCARE NURSING & REHABILITATION CENTER (NPI# 1912997222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912997222
Entity Type Organization
Organization Name HAVENCARE NURSING & REHABILITATION CENTER
Practice Address 111 Ruthlynn Dr
Longview
TX 75605-5635
Practice Telephone 9037572557
Practice Fax Number 9037575709
Mailing Telephone 9037572557
Mailing Fax Number 9037575709
Enumeration Date 2005-10-27
Last Update Date 2012-07-06
Authorized Official Name MR. LEROY WILLIAMS (PRESIDENT)
Authorized Official Telephone 2815747495
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies 117214 TX Suppliers
N 332BN1400X Durable Medical Equipment & Medical Supplies
Specialization: Nursing Facility Supplies
117214 TX Suppliers
N 313M00000X Nursing Facility/Intermediate Care Facility 117214 TX Nursing & Custodial Care Facilities
N 385H00000X Respite Care 117214 TX Respite Care Facility
Y 314000000X Skilled Nursing Facility 117214 TX Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
TX 001003942 05
TX 171335601 05
TX 171335602 05

Office Location

Street Address 111 RUTHLYNN DR
City LONGVIEW
State TX
Zip Code 75605-5635

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366715690 Casey Sharp-baker Occupational Therapy Assistant 111 Ruthlynn Dr, Longview, TX 75605-5635 2012-02-16
1881966570 Shanda Ritter Occupational Therapy Assistant 111 Ruthlynn Dr, Longview, TX 75605-5635 2012-01-27
1760754477 Sandra Glezen Physical Therapy Assistant 111 Ruthlynn Dr, Longview, TX 75605-5635 2012-01-27
1144599119 Debbie Russell Occupational Therapy Assistant 111 Ruthlynn Dr, Longview, TX 75605-5635 2011-12-21
1396014593 Yashica Mcfarland Occupational Therapy Assistant 111 Ruthlynn Dr, Longview, TX 75605-5635 2011-12-19
1336417666 Eva Overstreet-lincoln Occupational Therapy Assistant 111 Ruthlynn Dr, Longview, TX 75605-5635 2011-12-01
1659649937 Miguel Repress Physical Therapist 111 Ruthlynn Dr, Longview, TX 75605-5635 2011-12-01
1376811653 Christi Roberts Speech-Language Pathologist 111 Ruthlynn Dr, Longview, TX 75605-5635 2011-12-01

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194353730 Dusty Rae Hane Nurse Practitioner Diagnostic Clinic of Longview, 2901 N Fourth St, Longview, TX 75605 2020-03-30
1831720374 Kaycee Whatley Nurse Practitioner 323 W Hawkins Parkway, Longview, TX 75605 2020-02-03
1245733492 Somers Pediatrics Pediatrics 103 W. Loop 281, Suite 474, Longview, TX 75605 2018-03-14
1467838391 Piney Woods Er II LLC Clinic/Center 120 East Loop 281, Longview, TX 75605 2015-08-03
1386023968 Elizabeth Ann Heeb Tidwell Obstetrics & Gynecology 802 Medical Dr Ste 100, Longview, TX 75605 2015-05-28
1215353651 Tracy Hicks Nurse Practitioner 102 Commander Dr Ste 9, Longview, TX 75605 2014-03-10
1073881280 Deirdre Scotter Specialist/Technologist 201 E Tomlinson Pkwy, Longview, TX 75605 2011-12-02
1316230139 Traditions Hospice of Longview, LLC Hospice Care, Community Based 4362 N Us Hwy 259, Suite B, Longview, TX 75605 2011-05-26
1184916769 Telema Dikibujiri Nga Pediatrics Longview Regional Medical Center, 2901 North Fourth Street, Longview, TX 75605 2011-05-13
1902101108 The Veta Lewis Behavioral Health Group Counselor 1800 S. Judson St., Suite 100, Longview, TX 75605 2011-01-19
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659756047 Gruenepointe 1 Longview, LLC Skilled Nursing Facility 2131 Alpine Rd, Longview, TX 75601-3402 2015-07-27
1861818635 Hopkins County Hospital District Skilled Nursing Facility 1154 E Hawkins Pkwy, Longview, TX 75605-7975 2014-03-17
1689840266 Legacy Healthcare Services, Inc. Skilled Nursing Facility 1517 Edna Ln, Longview, TX 75602-4915 2008-05-05
1063571552 Buckner Retirement Services, Inc Skilled Nursing Facility 2201 Horseshoe Ln, Longview, TX 75605-5650 2006-12-08
1487600706 Hopkins County Hospital District Skilled Nursing Facility 3201 4th St, Longview, TX 75605-5145 2006-05-26
1750335345 Linderian Company, Ltd Skilled Nursing Facility 301 Hollybrook Dr, Longview, TX 75605-2461 2006-05-19
1437117272 Longview I Enterprises, LLC Skilled Nursing Facility 2711 Pine Tree Rd, Longview, TX 75604-1646 2006-05-02
1659337384 Whispering Pines Lodge Illp Skilled Nursing Facility 2131 Alpine Road, Longview, TX 75601 2006-04-21
1437125937 Clairmont Longview, Lp Skilled Nursing Facility 3201 N 4th St, Longview, TX 75605-5145 2006-02-24
1578551768 Highland Pines Nursing Home, Ltd Skilled Nursing Facility 1100 N 4th St, Longview, TX 75601-4739 2005-10-11
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Competitor

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City LONGVIEW
Zip Code 75605

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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