ABODE CARE PARTNERS AL VB, LLC
NPI 1104695550
Nurse Practitioner in Mason, OH

Active since December 27, 2023
5467 CEDAR VILLAGE DR, MASON, OH 45040(800) 807-6555(855) 316-2999 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Nurse Practitioner

About ABODE CARE PARTNERS AL VB, LLC

This page provides the complete NPI Profile along with additional information for Abode Care Partners Al Vb, Llc, a provider established in Mason, Ohio operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1104695550 assigned on December 2023. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated June 2026. Abode Care Partners Al Vb, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Angie Mattingly (Mgr Provider Enrollment)

NPI
1104695550 Verify this NPI
Provider Name
ABODE CARE PARTNERS AL VB, LLC
Entity Type
Organization
Location Address
5467 CEDAR VILLAGE DR MASON, OH 45040
Location Phone
(800) 807-6555
Location Fax
(855) 316-2999
Mailing Address
805 N WHITTINGTON PKWY LOUISVILLE, KY 40222
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2023
Last Update Date
06-01-2026
Code Navigator

A nurse practitioner (NP) like Abode Care Partners Al Vb, Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANGIE MATTINGLY

Authorized Official Title
MGR PROVIDER ENROLLMENT
Authorized Official Phone
(502) 394-2100

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Geriatric Medicine)
5467 CEDAR VILLAGE DR
MASON, OH 45040
Registered Nurse (Psychiatric/Mental Health)
5467 CEDAR VILLAGE DR
MASON, OH 45040
Home Health
5467 CEDAR VILLAGE DR
MASON, OH 45040
Physical Therapy Assistant
5467 CEDAR VILLAGE DR
MASON, OH 45040
Occupational Therapist
5467 CEDAR VILLAGE DR
MASON, OH 45040
Occupational Therapist
5467 CEDAR VILLAGE DR
MASON, OH 45040
Skilled Nursing Facility
5467 CEDAR VILLAGE DR
MASON, OH 45040
Occupational Therapy Assistant
5467 CEDAR VILLAGE DR
MASON, OH 45040
Physical Therapy Assistant
5467 CEDAR VILLAGE DR
MASON, OH 45040
Physical Therapy Assistant
5467 CEDAR VILLAGE DR
MASON, OH 45040
Physical Therapist
5467 CEDAR VILLAGE DR
MASON, OH 45040
Assisted Living Facility
5467 CEDAR VILLAGE DR
MASON, OH 45040
Physical Therapy Assistant
5467 CEDAR VILLAGE DR
MASON, OH 45040
Occupational Therapist
5467 CEDAR VILLAGE DR
MASON, OH 45040
Occupational Therapist
5467 CEDAR VILLAGE DR
MASON, OH 45040
Physical Therapy Assistant
5467 CEDAR VILLAGE DR
MASON, OH 45040
Skilled Nursing Facility
5467 CEDAR VILLAGE DR
MASON, OH 45040
Physical Medicine & Rehabilitation
5467 CEDAR VILLAGE DR
MASON, OH 45040
Nursing Care
5467 CEDAR VILLAGE DR
MASON, OH 45040
Assisted Living Facility
5467 CEDAR VILLAGE DR
MASON, OH 45040

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104695550, enumerated as an "organization" on December 27, 2023.

The provider is located at 5467 CEDAR VILLAGE DR MASON, OH 45040 and the phone number is (800) 807-6555.

Nurse Practitioner with taxonomy code 363L00000X.