MEDICARE: HAVEN MOBILITY HTX LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1528913977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAVEN MOBILITY HTX LLC

Provider Business Mailing Address
First Line	:	4913 GRIGGS RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-3230
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4913 GRIGGS RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77021-3230
Country	:	US
Telephone Number	:	228-627-7668
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	JASMINE CLEMONS
Credential	:
Telephone Number	:	228-627-7668

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “HAVEN MOBILITY HTX LLC ” Practice Location

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