Abitacare, LLC

Primary specialty

Home Infusion AgencyTaxonomy code 251F00000X

Legal business name

ABITACARE, LLC

Practice address

1501 23Rd Ave
Suite B
Meridian, MS 39301-4027

Phone

(877) 229-1724

Fax

(877) 229-1725

NPI assigned

Aug 6, 2009

Last updated

May 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brad Gilchrist

Title

Coo

Phone

(601) 482-4003

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Abitacare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Abitacare, LLC

  dba Vital Care of Lynchburg

  • Home Infusion Therapy Pharmacy
  • Forest, VA
  • NPI 1891560306
  NPD tax ID

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

• KCC Infusion, LLC

  dba Vicksburg Infusion Center

  • Infusion Therapy Clinic/Center
  • Vicksburg, MS
  • NPI 1942875158

  Member Of

  NPD member
• KCC Infusion, LLC

  dba Shreveport Infusion Center

  • Infusion Therapy Clinic/Center
  • Shreveport, LA
  • NPI 1225794506

  Member Of

  NPD member

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1659502755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 23RD AVE",
            "address_2": "SUITE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014027",
            "telephone_number": "877-229-1724",
            "fax_number": "877-229-1725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 23RD AVE",
            "address_2": "SUITE B",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014027",
            "telephone_number": "877-229-1724",
            "fax_number": "877-229-1725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABITACARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "GILCHRIST",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "601-482-4003"
    },
    "taxonomies": [
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "08206/01.1",
            "primary": false
        },
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "MS",
            "license": "0820611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 3716 Highway 39 North Opco LLC (The Oaks Rehabilitation and Healthcare)
• A1 in Home Therapy (NA)
• Nigma D Abduljaber, LPC
• Richard S. Abney, M.D.
• Frank Perron Achorn Jr., DMD
• Joseph R. Acosta, M.D.
• Bobby Lester Adams, DPM
• Suzanne Adcock, LMSW

• Home Infusion Agency in Meridian, MS
• Providers in Meridian, MS by specialty
• Home Infusion Agency in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.