National Provider Identifier Database

ABITACARE LLC
Home Infusion

Contact Information

ABITACARE, LLC
1501 23RD AVE
SUITE B
MERIDIAN, MS  39301-4027
Phone: 877-229-1724
Fax: 877-229-1725
Website:
Specialty Taxonomy Code
* Home Infusion 251F00000X
Durable Medical Equipment & Medical Supplies 332B00000X
Home Infusion Therapy Pharmacy 3336H0001X
Parenteral & Enteral Nutrition 332BP3500X
Pharmacy 333600000X

* Indicates primary specialty

NPI Profile & details for ABITACARE, LLC

NPI Number 1659502755
Legal business name
LBN		 ABITACARE, LLC
Authorized official BRAD GILCHRIST - (COO)
Entity Organization
Organization subpart No
Enumeration date 08/06/2009
Last updated 05/17/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 08206/01.1
  • MS License #: 0820611
  • AL Medicaid: 114674
  • MS Medicaid: 00473225
  • MS Other: 7589870001 DMEPOS

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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