1528837788 NPI number — ABODE CARE PARTNERS LTC VB, LLC

Table of content: JOHN J. BILAZZO PHYSICAL THERAPIST (NPI 1518482306)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528837788 NPI number — ABODE CARE PARTNERS LTC VB, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ABODE CARE PARTNERS LTC VB, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528837788
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
805 N WHITTINGTON PKWY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOUISVILLE
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40222-7101
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-394-2100
Provider Business Mailing Address Fax Number:
502-568-7136

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
54 PEACHTREE PARK DR NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATLANTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30309-1304
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-807-6555
Provider Business Practice Location Address Fax Number:
855-316-2999
Provider Enumeration Date:
12/28/2023

Additional Information

Authorized Official

Authorized Official Last Name:
BROWN
Authorized Official First Name:
ALLISON
Authorized Official Middle Name:
Authorized Official Title or Position:
SECRETARY
Authorized Official Telephone Number:
502-394-2100

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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