Provider Demographics
NPI:1104712785
Name:LADONNAS HOUSE LLC
Entity type:Organization
Organization Name:LADONNAS HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:ANANSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOBLES
Authorized Official - Suffix:
Authorized Official - Credentials:COTA/L
Authorized Official - Phone:386-344-8182
Mailing Address - Street 1:24333 CINCO TERRACE DR APT 1027
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-2674
Mailing Address - Country:US
Mailing Address - Phone:386-344-8182
Mailing Address - Fax:
Practice Address - Street 1:24333 CINCO TERRACE DR APT 1027
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-2674
Practice Address - Country:US
Practice Address - Phone:386-344-8182
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility