Abode Care Partners Ltc Vb, LLC
Nurse Practitioner in Ridgeland, MS. Organization (NPI-2).
NPI number1992518591
StatusActive
Last updated in NPPESJun 1, 2026
Details
- NPI
- 1992518591
- Entity type
- Organization (NPI-2)
- Legal business name
- Abode Care Partners Ltc Vb, LLC
- Organization subpart
- No
- Enumeration date
- Jan 28, 2025
- Certification date
- Jun 1, 2026
- Last updated
- Jun 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Practice location
1000 Highland Colony PkwyRidgeland, MS 39157-2073
Phone 800-807-6555 · Fax 855-316-2999
Mailing address
805 N Whittington PkwyLouisville, KY 40222-7101
Phone 800-866-0860
Authorized official
Denisha Connor
Provider Enrollment Manager
5026307421
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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