Ellis Heart Havens

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

ELLIS HEART HAVENS

Practice address

340 N Sam Houston Pkwy E # A259
Houston, TX 77060-3305

Phone

(346) 657-2963

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

David Martin

Title

Ceo

Phone

(713) 399-6297

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1346083235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E # A259",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603305",
            "telephone_number": "346-657-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 N SAM HOUSTON PKWY E # A259",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603305",
            "telephone_number": "346-657-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HEART HAVENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "713-399-6297"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy M Elliott
• Tana Leigh Elliott, RN
• Ellis & Chase Transportation LLC
• Ellis Business Group LLC. (Sit With Me)
• Ellis Chiropractic and Rehabilitation Inc.
• Andrew Ellis, M.D.
• Ashley Ellis, DPT
• Ashley Danielle Ellis, M.C.D., CCC-SLP
• Bernadette Rossi Ellis
• Bryan Christopher Ellis, LCSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.