# ABODE CARE PARTNERS LTC VB, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366211534
- **Authorized official:** ANGIE MATTINGLY (MGR PROVIDER ENROLLMENT)
- **Authorized official phone:** (502) 394-2100

## Contact information

- **Practice address:** 9249 NORTHPARK DR, JOHNSTON, IA 50131-2933
- **Practice address phone:** (800) 807-6555
- **Practice address fax:** (855) 316-2999
- **Mailing address:** 805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2023
- **Last updated:** 06/01/2026