Provider Demographics
NPI:1679452734
Name:ANOVIA GROUP HOMES LLC
Entity type:Organization
Organization Name:ANOVIA GROUP HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMILAH
Authorized Official - Middle Name:
Authorized Official - Last Name:ELEAZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-323-8096
Mailing Address - Street 1:1560 SUNRISE GABLES DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77493-5331
Mailing Address - Country:US
Mailing Address - Phone:267-323-8096
Mailing Address - Fax:
Practice Address - Street 1:1560 SUNRISE GABLES DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77493-5331
Practice Address - Country:US
Practice Address - Phone:267-323-8096
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty