Haven Nursing Home Corporation

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

109191 Issued in TX

Legal business name

HAVEN NURSING HOME CORPORATION

Practice address

601 Terrace LN
Mexia, TX 76667-2072

Phone

(254) 562-5400

Fax

(254) 562-9145

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Williford

Title

Administrator

Phone

(254) 562-5400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104810852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 TERRACE LN",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766672072",
            "telephone_number": "254-562-5400",
            "fax_number": "254-562-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 TERRACE LN",
            "city": "MEXIA",
            "state": "TX",
            "postal_code": "766672072",
            "telephone_number": "254-562-5400",
            "fax_number": "254-562-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN NURSING HOME CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WILLIFORD",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "254-562-5400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "109191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lindsay Margaret Hayes, MED, LPC-A
• Health and Human Services Commission
• Health and Human Services Commission
• Melissa Warrem Heaton, LPC
• Amanda Henderson, OTR

• Skilled Nursing Facility in Mexia, TX
• Providers in Mexia, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.