360 HEALTH CARE, LLC (NPI# 1912459439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912459439 |
Entity Type | Organization |
Organization Name | 360 HEALTH CARE, LLC |
Practice Address |
1034 S Brentwood Blvd Suite 450a Saint Louis MO 63117-1223 |
Mailing Address |
1043 S. Brentwood Blvd. Suite 450a St. Louis MO 63117-2461 |
Practice Telephone | 3147250300 |
Mailing Telephone | 3147250300 |
Enumeration Date | 2016-11-01 |
Last Update Date | 2016-11-01 |
Authorized Official Name | MISS LORI RENEE REAMS (PRESIDENT) |
Authorized Official Telephone | 3147250300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 253Z00000X | In Home Supportive Care | MO | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 0013345 | 05 |
Street Address |
1034 S BRENTWOOD BLVD SUITE 450A |
City | SAINT LOUIS |
State | MO |
Zip Code | 63117-1223 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720082233 | Levi S Kirkland Jr. | Surgery | 1034 S Brentwood Blvd, Suite 694, Saint Louis, MO 63117-1223 | 2005-06-13 |
1770028953 | Christina Cammon | Nurse Practitioner | 1034 S Brentwood Blvd, Suite 516, Saint Louis, MO 63117-1223 | 2016-12-27 |
1396289468 | Natalie Beth Antin | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-12-08 |
1417490772 | Patrick Alan Behnke | Nurse Practitioner | 1034 S Brentwood Blvd, Suite 600, Saint Louis, MO 63117-1223 | 2016-11-18 |
1457803611 | St Louis Trauma Counseling LLC | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-11-03 |
1083162416 | John Petrovich | Specialist | 1034 S Brentwood Blvd, Suite 450a, Saint Louis, MO 63117-1223 | 2016-09-14 |
1609320076 | Allyson Graves | Speech-Language Pathologist | 1034 S Brentwood Blvd, #300, Saint Louis, MO 63117-1223 | 2016-08-15 |
1609237718 | Christine Shore-fitzgerald | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-03-16 |
1164883518 | St. Louis Dbt, LLC | Social Worker | 1034 S Brentwood Blvd, Suite 555, Saint Louis, MO 63117-1223 | 2016-03-13 |
1689032708 | Home Doctors Medical Associates | Family Medicine | 1034 S Brentwood Blvd, Suite 450, Saint Louis, MO 63117-1223 | 2016-02-03 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255956611 | Efehi Kelly Ogbomo | Student in an Organized Health Care Education/Training Program | 6420 Clayton Rd, Suite 2218, St. Louis, MO 63117 | 2020-06-11 |
1619533890 | Abdul Rauf | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road. Ssm Health St. Mary's Hospital, St. Louis, MO 63117 | 2019-05-14 |
1083278477 | Mohamed Maali Gumaa Mohamed | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road Ssm St. Mary's Hospital, Department of Internal Medicine, St. Louis, MO 63117 | 2019-05-01 |
1750945556 | Samrat Jun Jayanth | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm Health St Mary's Hospital, St. Louis, MO 63117 | 2019-04-26 |
1215491329 | Latonya Allen | Counselor | 1612 S. Big Bend Blvd, St. Louis, MO 63117 | 2019-01-23 |
1265917025 | Blue Stars Therapy, LLC | Occupational Therapist | 1101 Edward Terrace, Apt A, St. Louis, MO 63117 | 2018-09-27 |
1770060014 | Ultra Care Home Services LLC | Home Health | 7353 Dale Ave, Saint Louis, MO 63117 | 2018-07-19 |
1235623562 | Melissa Valerie Taylor | Counselor | Psychological Services of St Louis, LLC, 7110 Oakland Ave, St Louis, MO 63117 | 2018-06-20 |
1124517289 | Jideofor Ebony Obodozie | Student in an Organized Health Care Education/Training Program | 6420 Clayton Road, Ssm St. Mary's Hospital, St. Louis, MO 63117 | 2018-05-04 |
1770071706 | Sivaram Prabhuji Muppaneni | Student in an Organized Health Care Education/Training Program | Ssm St Mary's Hospital, 6420 Clayton Road, St. Louis, MO 63117 | 2018-04-25 |
Find all providers in zip 63117 |
Taxonomy Code | 253Z00000X |
Grouping | Agencies |
Classification | In Home Supportive Care |
An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073112868 | Kb Cds Health Services | In Home Supportive Care | 5431 Chippewa St Unit B103, Saint Louis, MO 63109-1635 | 2020-10-22 |
1285233536 | Hoping Hands Homecare LLC | In Home Supportive Care | 5046 Ridge Ave, Saint Louis, MO 63113-1404 | 2020-10-19 |
1740897834 | Mgc Health Care Services, LLC | In Home Supportive Care | 1430 Washington Ave Ste 228, Saint Louis, MO 63103-2029 | 2020-09-23 |
1073129573 | Exquisite Homecare LLC | In Home Supportive Care | 1224 Washington Ave Apt 6a, Saint Louis, MO 63103-1969 | 2020-09-20 |
1154933919 | So Serious Private Duty LLC | In Home Supportive Care | 5008 Wren Ave, Saint Louis, MO 63120-1919 | 2020-08-21 |
1639792682 | Guardian Homecare LLC | In Home Supportive Care | 10436 W Florissant Ave, Saint Louis, MO 63136-2343 | 2020-05-26 |
1841813169 | Jody M Jordan | In Home Supportive Care | 10323 Ross Cir, Saint Louis, MO 63137-4130 | 2020-05-20 |
1235750530 | Precious Angels Hhs, LLC | In Home Supportive Care | 3131 Chippewa St, Saint Louis, MO 63118-3631 | 2020-04-28 |
1639705320 | Angel Aid Cds LLC | In Home Supportive Care | 315 Lemay Ferry Rd Ste 128, Saint Louis, MO 63125-1550 | 2020-03-13 |
1396375655 | A Perfect Balance In Home Services LLC | In Home Supportive Care | 2335 Rutger St, Saint Louis, MO 63104-2433 | 2020-01-24 |
Find all providers in SAINT LOUIS |
City | SAINT LOUIS |
Zip Code | 63117 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.