ABODE CARE PARTNERS LTC VB, LLC.

Company Details

Entity Name:	ABODE CARE PARTNERS LTC VB, LLC.
Jurisdiction:	FLORIDA
Filing Type:	Foreign Limited Liability Co.
Status:	Active
Date Filed:	10 Oct 2023 (a year ago)
Document Number:	M23000013042
FEI/EIN Number	364768682
Address:	805 N. WHITTINGTON PKWY., STE. 400, LOUISVILLE, KY, 40222, US
Mail Address:	805 N. WHITTINGTON PKWY., STE. 400, LOUISVILLE, KY, 40222, US
Place of Formation:	DELAWARE

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1558130716

2023-12-28

2024-01-04

805 N WHITTINGTON PKWY STE 400, LOUISVILLE, KY, 402227102, US

2061 HYDE PARK RD, JACKSONVILLE, FL, 322103815, US

Contacts

Phone	+1 502-394-2100
Phone	+1 941-625-3200

Authorized person

Name	ANGIE MATTINGLY
Role	MGR PROVIDER ENROLLMENT
Phone	5023942100

Taxonomy

Taxonomy Code	363L00000X - Nurse Practitioner
Is Primary	Yes

Agent

Name	Role
CORPORATION SERVICE COMPANY	Agent

Manager

Name	Role
SHC MEDICAL PARTNERS, LLC	Manager

President

Name	Role	Address
MILLS WILLIAM RM.D.	President	805 N. WHITTINGTON PKWY., STE. 400, LOUISVILLE, KY, 40222

Treasurer

Name	Role	Address
PHIPPS JENNIFER A	Treasurer	805 N. WHITTINGTON PKWY., STE. 400, LOUISVILLE, KY, 40222

Secretary

Name	Role	Address
BROWN ALLISON L	Secretary	805 N. WHITTINGTON PKWY., STE. 400, LOUISVILLE, KY, 40222

Chief Marketing Officer

Name	Role	Address
NAZIR ARIF	Chief Marketing Officer	805 N. WHITTINGTON PKWY., STE. 400, LOUISVILLE, KY, 40222

Vice President

Name	Role	Address
BROWNING KYLE R	Vice President	805 N. WHITTINGTON PKWY., STE. 400, LOUISVILLE, KY, 40222

Documents

Name	Date
ANNUAL REPORT	2024-04-24
Foreign Limited	2023-10-10

Date of last update: 01 Feb 2025

Sources: Florida Department of State