Provider Demographics
NPI:1821861188
Name:ABANDANCE LOVE HOMES LLC
Entity Type:Organization
Organization Name:ABANDANCE LOVE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINA
Authorized Official - Middle Name:EVERIST
Authorized Official - Last Name:MFUGALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-498-4876
Mailing Address - Street 1:13328 WESTHEIMER RD APT 7108
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3771
Mailing Address - Country:US
Mailing Address - Phone:346-498-4876
Mailing Address - Fax:
Practice Address - Street 1:13328 WESTHEIMER RD APT 7108
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-3771
Practice Address - Country:US
Practice Address - Phone:346-498-4876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-30
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child