Organization Active NPI

Ellis Heart Haven Homes

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Humble, TX
National Provider Identifier
1386563609
Registry record updated Jul 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
ELLIS HEART HAVEN HOMES
Practice address
17114 Ross Lake CT
Humble, TX 77346-3674
Phone
(346) 572-5307
NPI assigned
Jul 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2026

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

Authorized official

Name
Jona Ellis
Title
Provider Administrator
Phone
(832) 770-3838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

17114 Ross Lake CT
Humble, TX 77346-3674

Mailing address

17114 Ross Lake CT
Humble, TX 77346-3674
Phone (346) 572-5307

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783728000000",
    "number": "1386563609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17114 ROSS LAKE CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463674",
            "telephone_number": "346-572-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17114 ROSS LAKE CT",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463674",
            "telephone_number": "346-572-5307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLIS HEART HAVEN HOMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-11",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "JONA",
        "authorized_official_title_or_position": "PROVIDER ADMINISTRATOR",
        "authorized_official_telephone_number": "832-770-3838"
    },
    "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": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; 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.