Provider Demographics
NPI:1376067397
Name:LOVE ONE ANOTHER HOMES LLC
Entity Type:Organization
Organization Name:LOVE ONE ANOTHER HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TINA
Authorized Official - Middle Name:HUDSPETH
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN MSN
Authorized Official - Phone:361-484-8145
Mailing Address - Street 1:376 DIERLAM RD
Mailing Address - Street 2:
Mailing Address - City:SEADRIFT
Mailing Address - State:TX
Mailing Address - Zip Code:77983-3516
Mailing Address - Country:US
Mailing Address - Phone:361-484-8145
Mailing Address - Fax:
Practice Address - Street 1:376 DIERLAM RD
Practice Address - Street 2:
Practice Address - City:SEADRIFT
Practice Address - State:TX
Practice Address - Zip Code:77983-3516
Practice Address - Country:US
Practice Address - Phone:361-484-8145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-01
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001029590Medicaid