OrganizationActive
Abode Care Partners Ltc Vb, LLC
NPI 1972372225 · Nurse Practitioner · Mountain City, TN
Provider details
- NPI number
- 1972372225
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Angie Mattingly, Mgr Provider Enrollment(502) 420-2512
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
919 Medical Park Dr
Mountain City, TN 37683-1042
Phone: (800) 807-6555
Fax: (855) 316-2999
Approximate (ZIP-level) locationGet directions
Mailing address
805 N Whittington Pkwy
Louisville, KY 40222-7101
Registry dates
- Enumerated
- 2023-12-28
- Last updated
- 2026-06-01
- Certified
- 2026-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.