MEDICARE: ABOUND HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1063798031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ABOUND HEALTH, LLC

Provider Business Mailing Address
First Line	:	3330 MONROE RD
Second Line	:	STE A
City	:	CHARLOTTE
State	:	NC
Zip	:	28205-7734
Country	:	US
Telephone Number	:	704-916-6656
Fax Number	:	980-256-3910

Provider Business Practice Location Address
First Line	:	5309 IDLEWILD RD N
Second Line	:
City	:	MINT HILL
State	:	NC
Zip	:	28227-2822
Country	:	US
Telephone Number	:	704-536-8888
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT OF NETWORK SUPPORT
Name	:	DEVON R CORNETT
Credential	:
Telephone Number	:	704-916-6656

Provider Enumeration Date	:	10/22/2011
Last Update Date	:	02/11/2025

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Directions to “ABOUND HEALTH, LLC ” Practice Location

Language	Start Address	Practice Location

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