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ABODE CARE PARTNERS AL VB, LLC
NPI 1770808446
Nurse Practitioner in Lexington Pk, MD

Active since April 06, 2010
21412 GREAT MILLS RD, LEXINGTON PK, MD 20653(301) 863-7244(301) 863-8550 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Abode Care Partners Al Vb, Llc NPPES

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

ABODE CARE PARTNERS AL VB, LLC (NPI 1770808446) is a healthcare organization registered as a nurse practitioner in Lexington Pk, Maryland and active in the NPI registry since April 2010. The organization lists Angie Mattingly, Mgr Provider Enrollment, as its authorized official.

NPPES Registry Identity

NPI1770808446
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameABODE CARE PARTNERS AL VB, LLC
Location Address21412 GREAT MILLS RDLexington Pk, MD 20653-1203
Mailing Address12201 Bluegrass PkwyLouisville, KY 40299-2361 · (502) 568-7896 · Fax (502) 568-7136
Phone(301) 863-7244
Fax(301) 863-8550
Organization SubpartYesParent: Shc Medical Partners, Llc
Authorized OfficialAngie MattinglyMgr Provider Enrollment · (502) 394-2100
Enumeration DateApril 6, 2010
Last NPPES UpdateDecember 26, 2023
NPPES CertifiedDecember 26, 2023
✔ NPI 1770808446 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.
21412 GREAT MILLS RD, Lexington Pk, MD 20653
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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 10

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

NOVUS PAIN MANAGEMENT - MARYLAND, LLC
Physical Medicine & Rehabilitation (Pain Medicine)
21412 GREAT MILLS RD
LEXINGTON PK, MD 20653
St. Mary's County (301) 722-0484
LEXINGTON PARK MD OPCO LLC
Clinic/Center (Rehabilitation)
21412 GREAT MILLS RD
LEXINGTON PARK, MD 20653
St. Mary's County (301) 863-7244
ELIZABETH ANN FRYMAN CRNP
Nurse Practitioner
21412 GREAT MILLS RD
LEXINGTON PK, MD 20653
St. Mary's County (301) 862-4501
ALLISON DUCKETT
Physical Therapist
21412 GREAT MILLS RD
LEXINGTON PARK, MD 20653
St. Mary's County (301) 863-7244
LP LEXINGTON PARK LLC
Skilled Nursing Facility
21412 GREAT MILLS RD
LEXINGTON PK, MD 20653
St. Mary's County (301) 863-7244
HQM OF BAYSIDE, LLC
Skilled Nursing Facility
21412 GREAT MILLS RD
LEXINGTON PK, MD 20653
St. Mary's County (301) 863-7244
LEXINGTON PARK MD OPCO LLC
Skilled Nursing Facility
21412 GREAT MILLS RD
LEXINGTON PARK, MD 20653
St. Mary's County (301) 863-7244
MDICS REHABILITATIVE SERVICES LLC
Internal Medicine
21412 GREAT MILLS RD
LEXINGTON PARK, MD 20653
St. Mary's County (301) 863-7244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Abode Care Partners Al Vb, LLC's NPI number?

The NPI number for Abode Care Partners Al Vb, LLC is 1770808446. It was assigned to this organization in the NPPES registry on April 6, 2010.

Where is Abode Care Partners Al Vb, LLC located?

Abode Care Partners Al Vb, LLC is located at 21412 Great Mills Rd, Lexington Pk, MD 20653. The listed phone number is (301) 863-7244.

What is Abode Care Partners Al Vb, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Abode Care Partners Al Vb, LLC was last updated on December 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.