# HAVENCARE NURSING & REHABILITATION CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912997222
- **Authorized official:** LEROY WILLIAMS (PRESIDENT)
- **Authorized official phone:** (713) 806-0027

## Contact information

- **Practice address:** 111 RUTHLYNN DR, LONGVIEW, TX 75605-5635
- **Practice address phone:** (903) 757-2557
- **Practice address fax:** (903) 757-5709
- **Mailing address:** 1400 KATY FLEWELLEN RD UNIT 29, KATY, TX 77494-6633
- **Mailing address phone:** (713) 806-0027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 117214 | TX | — |
| 314000000X | Skilled Nursing Facility | 117214 | TX | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 117214 | TX | — |
| 332BN1400X | Nursing Facility Supplies (DME) | 117214 | TX | — |
| 385H00000X | Respite Care | 117214 | TX | — |

## Other

- **Enumeration date:** 10/27/2005
- **Last updated:** 06/15/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001003942 | — | TX |
| 05 | — | 171335601 | — | TX |
| 05 | — | 171335602 | — | TX |