Healthcare Provider Details
I. General information
NPI: 1720744345
Provider Name (Legal Business Name): ABODE CARE PARTNERS, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/09/2021
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
750 OLD HICKORY BLVD STE 264
BRENTWOOD TN
37027-4528
US
IV. Provider business mailing address
805 N WHITTINGTON PKWY STE 400
LOUISVILLE KY
40222-7102
US
V. Phone/Fax
- Phone: 800-807-6555
- Fax: 855-316-2999
- Phone: 502-394-2100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
ROBERT
MILLS
Title or Position: PRESIDENT
Credential: MD
Phone: 502-394-2100