NPIMap

Abode Care Partners LTC VB, LLC

Organization Active NPI Nurse Practitioner · Ridgeland, MS

NPI 1992518591 · NPPES record last updated Jun 1, 2026

Key facts

NPI
1992518591
Entity type
Organization (NPI type 2)
Primary specialty
Nurse Practitioner 363L00000X
Legal business name
ABODE CARE PARTNERS LTC VB, LLC
Practice address
1000 Highland Colony Pkwy
Ridgeland, MS 39157-2073
Phone
(800) 807-6555
Fax
(855) 316-2999
NPI assigned
Jan 28, 2025
Organization subpart
No

Authorized official

Name
Denisha Connor
Title
Provider Enrollment Manager
Phone
(502) 630-7421

Other NPIs with the same Medicare PAC ID 14

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

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

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners 254

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 254

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MS

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250403001951 MS Part B Supplier - Clinic/Group Practice 8325316516 Receives reassigned benefits from 4 practitioners
Practice locations: Ridgeland, MS

National Provider Directory

Tax ID family
Abode Care Partners LTC VB LLC (11 organizations share this tax ID)

Locations

4400 Bayou Blvd
Ste 54A
Pensacola, FL 32503
Phone (727) 323-3611

1602 E Franklin St
Chapel Hill, NC 27514
Phone (919) 967-1418

919 Medical Park Dr
Mountain City, TN 37683
Phone (423) 727-7800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X Yes

Addresses

Primary practice location

1000 Highland Colony Pkwy
Ridgeland, MS 39157-2073

Mailing address

805 N Whittington Pkwy
Louisville, KY 40222-7101
Phone (800) 866-0860

Other providers in Ridgeland, MS

All providers in Ridgeland, MS · Nurse Practitioner in Mississippi

Sources for this page

Verify at the official NPI Registry.