Our Loving Abode, Inc

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

OUR LOVING ABODE, INC

Practice address

5304 Greenshaven Dr
Fort Worth, TX 76112-8720

Phone

(817) 714-7069

NPI assigned

Mar 26, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mamie Mineor

Title

Owner/Manager

Phone

(817) 714-7069

Specialties & licenses 4

Addresses

Other names 1

• Our Loving Abode, Inc Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1447052691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5304 GREENSHAVEN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761128720",
            "telephone_number": "817-714-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5304 GREENSHAVEN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761128720",
            "telephone_number": "817-714-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR LOVING ABODE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "MINEOR",
        "authorized_official_first_name": "MAMIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "817-714-7069"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Loving Abode, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi L Otto, L.P.T.
• Agunbiade Blessing Otuyemi
• Vanessa Otzenberger Rodriguez, SLP-ASSISTANT
• Aaron Taylor Oubre, M.D.
• Macmoni H Ouk, PHARMD, RPH.
• Our Place Adolescent and Young Adult Health, PLLC
• Our Place Parenting Center
• Sarah Oushy, DMD
• Outpatient Physical Therapy
• Natalie R Ovcharov, LCSW

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.