VILLA HAVEN HEALTH & REHABILITATION CENTER
NPI 1821081977
Skilled Nursing Facility in Breckenridge, TX

Active since August 24, 2005CLIA 45D0484994 · Waiver
300 S JACKSON ST, BRECKENRIDGE, TX 76424(254) 559-3386(254) 559-7259 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Villa Haven Health & Rehabilitation Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VILLA HAVEN HEALTH & REHABILITATION CENTER (NPI 1821081977) is a healthcare organization registered as a skilled nursing facility in Breckenridge, Texas and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists John Lake Degrand, Administrator, as its authorized official.

NPPES Registry Identity

NPI1821081977
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameVILLA HAVEN HEALTH & REHABILITATION CENTER
Location Address300 S JACKSON STBreckenridge, TX 76424-4804
Mailing Address300 S Jackson StBreckenridge, TX 76424-4804 · (254) 559-3386 · Fax (254) 559-7259
Fax(254) 559-7259
Organization SubpartNo
Authorized OfficialJohn Lake DegrandAdministrator · (254) 559-3386
Enumeration DateAugust 24, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1821081977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 004773
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.

300 S JACKSON ST, Breckenridge, TX 76424

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0484994

Villa Haven Health & Rehabilitation Center · Breckenridge, TX
Active · expires Aug 31, 2026
CLIA Number45D0484994
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKay C. Cates,
Laboratory Phone(254) 559-3386
Laboratory LocationVilla Haven Health & Rehabilitation Center300 South Jackson Avenue, Breckenridge, TX 76424
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
300 S JACKSON ST
BRECKENRIDGE, TX 76424
Skilled Nursing Facility
300 S JACKSON ST
BRECKENRIDGE, TX 76424
Skilled Nursing Facility
300 S JACKSON ST
BRECKENRIDGE, TX 76424

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Villa Haven Health & Rehabilitation Center's NPI number?

The NPI number for Villa Haven Health & Rehabilitation Center is 1821081977. It was assigned to this organization in the NPPES registry on August 24, 2005.

Where is Villa Haven Health & Rehabilitation Center located?

Villa Haven Health & Rehabilitation Center is located at 300 S Jackson St, Breckenridge, TX 76424. The listed phone number is (254) 559-3386.

What is Villa Haven Health & Rehabilitation Center's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Villa Haven Health & Rehabilitation Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0484994) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Villa Haven Health & Rehabilitation Center was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.