ABODE CARE PARTNERS LTC VB, LLC
NPI 1215706494
Nurse Practitioner in Rock Island, IL

Q: What is Abode Care Partners Ltc Vb, LLC's NPI number?

The NPI number for Abode Care Partners Ltc Vb, LLC is 1215706494. It was assigned to this organization in the NPPES registry on December 28, 2023.

Q: What is Abode Care Partners Ltc Vb, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since December 28, 2023

2545 24TH ST, ROCK ISLAND, IL 61201(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: August 02, 2026.

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About Abode Care Partners Ltc Vb, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ABODE CARE PARTNERS LTC VB, LLC (NPI 1215706494) is a healthcare organization registered as a nurse practitioner in Rock Island, Illinois and active in the NPI registry since December 2023. The organization lists Angie Mattingly, Mgr Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1215706494

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameABODE CARE PARTNERS LTC VB, LLC

Location Address2545 24TH STRock Island, IL 61201-5305

Mailing Address805 N Whittington PkwyLouisville, KY 40222-7101 · (502) 394-2100

Phone(800) 807-6555

Fax(855) 316-2999

Organization SubpartNo

Authorized OfficialAngie MattinglyMgr Provider Enrollment · (502) 394-2100

Enumeration DateDecember 28, 2023

Last NPPES UpdateJune 1, 2026

NPPES CertifiedJune 1, 2026

✔ NPI 1215706494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(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.

2545 24TH ST, Rock Island, IL 61201

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GLORIA PAGAN MS CCC-SLP

Speech-Language Pathologist