Provider Demographics
NPI:1982934675
Name:JOVIC HOMES LLC
Entity type:Organization
Organization Name:JOVIC HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ABOLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-275-6712
Mailing Address - Street 1:9816 MEMORIAL BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77338-4206
Mailing Address - Country:US
Mailing Address - Phone:832-275-6712
Mailing Address - Fax:
Practice Address - Street 1:11210 ELMCROFT DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-2623
Practice Address - Country:US
Practice Address - Phone:832-275-6712
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-03
Last Update Date:2010-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility