Healthcare Provider Details

I. General information

NPI: 1023445301
Provider Name (Legal Business Name): ABODE CARE PARTNERS LTC VB, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2013
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 STOKES ST E
AHOSKIE NC
27910-4159
US

IV. Provider business mailing address

805 N WHITTINGTON PKWY STE 200
LOUISVILLE KY
40222-7102
US

V. Phone/Fax

Practice location:
  • Phone: 800-807-6555
  • Fax: 855-316-2999
Mailing address:
  • Phone: 800-807-6555
  • Fax: 855-316-2999

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALLISON BROWN
Title or Position: SECRETARY
Credential:
Phone: 502-394-2100