Provider Demographics
NPI:1598482572
Name:OUR LOVING ABODE
Entity Type:Organization
Organization Name:OUR LOVING ABODE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHANIQUA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:757-769-1177
Mailing Address - Street 1:1936 SUN VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23464-7420
Mailing Address - Country:US
Mailing Address - Phone:757-769-1177
Mailing Address - Fax:
Practice Address - Street 1:1936 SUN VALLEY DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23464-7420
Practice Address - Country:US
Practice Address - Phone:757-769-1177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-20
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No253Z00000XAgenciesIn Home Supportive Care
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No347C00000XTransportation ServicesPrivate Vehicle