360care Services Of Kentucky Llc | |
12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 | |
(502) 244-2420 | |
(502) 996-8282 |
Full Name | 360care Services Of Kentucky Llc |
---|---|
Speciality | Social Worker |
Location | 12910 Shelbyville Rd Ste 300, Louisville, Kentucky |
Authorized Official Name and Position | John Dadds (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5022442420 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
360care Services Of Kentucky Llc 12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (502) 244-2420 | 360care Services Of Kentucky Llc 12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (502) 244-2420 |
NPI Number | 1669113023 |
---|---|
Provider Enumeration Date | 04/07/2022 |
Last Update Date | 01/02/2024 |
Certification Date | 01/02/2024 |
Medicare PECOS PAC ID | 9931587888 |
---|---|
Medicare Enrollment ID | O20220604000305 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669113023 | NPI | - | NPPES |
Provider Name | Richard E Skrip |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1932129343 PECOS PAC ID: 5698780054 Enrollment ID: I20060207000571 |
Provider Name | Gregory D Perri |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265544415 PECOS PAC ID: 7113026204 Enrollment ID: I20070702000299 |
Provider Name | Daryl Kinshasa Jenkins |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1245215318 PECOS PAC ID: 0042280935 Enrollment ID: I20090327000386 |
Provider Name | Jeff Richardson |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1710204862 PECOS PAC ID: 0345373437 Enrollment ID: I20100726000592 |
Provider Name | Scott Jason Giaimo |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1912967381 PECOS PAC ID: 2163488446 Enrollment ID: I20110930000615 |
Provider Name | Muhammad Sharif |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1346628229 PECOS PAC ID: 8527376128 Enrollment ID: I20151001000444 |
Provider Name | Regina Dawn Wilkerson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346606860 PECOS PAC ID: 4789983586 Enrollment ID: I20160429000109 |
Provider Name | Jennifer Mullins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174063234 PECOS PAC ID: 1355627134 Enrollment ID: I20170410001338 |
Provider Name | Nicole Marie Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396108478 PECOS PAC ID: 6608161732 Enrollment ID: I20170811002363 |
Provider Name | Ann Rosenberg-sattich |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487909495 PECOS PAC ID: 9032467972 Enrollment ID: I20180814002031 |
Provider Name | Sara F Melhorn |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1396238655 PECOS PAC ID: 7719239342 Enrollment ID: I20181010001283 |
Provider Name | Richard Susner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225425960 PECOS PAC ID: 9830407378 Enrollment ID: I20181030002518 |
Provider Name | Christian E Ball |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1811421076 PECOS PAC ID: 3274872049 Enrollment ID: I20190222002063 |
Provider Name | Kimberly Haubner |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265946263 PECOS PAC ID: 3971867243 Enrollment ID: I20190830002121 |
Provider Name | Kathleen Daley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1891344511 PECOS PAC ID: 3072843218 Enrollment ID: I20191001001766 |
Provider Name | Lauren Taylor Rowley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992258388 PECOS PAC ID: 4486986098 Enrollment ID: I20191031002500 |
Provider Name | Robert B Ramey |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912540402 PECOS PAC ID: 7517399413 Enrollment ID: I20200102000960 |
Provider Name | Sabrina Poydras |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1942768866 PECOS PAC ID: 4385078120 Enrollment ID: I20200102001686 |
Provider Name | Octavia Mcfall |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942847140 PECOS PAC ID: 1052746351 Enrollment ID: I20200114003624 |
Provider Name | William Anthony Mathis |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1639408990 PECOS PAC ID: 9234568023 Enrollment ID: I20200330002560 |
Provider Name | Lisa Bridwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902427917 PECOS PAC ID: 9830511351 Enrollment ID: I20200629003396 |
Provider Name | Lindsey Lamb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013548049 PECOS PAC ID: 2466872403 Enrollment ID: I20201013003390 |
Provider Name | Megan Neal |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1275082208 PECOS PAC ID: 0547680225 Enrollment ID: I20201019001772 |
Provider Name | Ashley Ricketts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326641499 PECOS PAC ID: 8729490107 Enrollment ID: I20201208002304 |
Provider Name | Jessica Eckhoff |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699189977 PECOS PAC ID: 8426462029 Enrollment ID: I20210121002606 |
Provider Name | Stephen D Curtis |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265743165 PECOS PAC ID: 9133487267 Enrollment ID: I20210504002497 |
Provider Name | Robin Lynn Day |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255905071 PECOS PAC ID: 2567646540 Enrollment ID: I20211115002943 |
Provider Name | Tara Lyniese Angelini |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265613020 PECOS PAC ID: 7911397724 Enrollment ID: I20211210000980 |
Provider Name | Melissa Babbs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982363982 PECOS PAC ID: 4486045366 Enrollment ID: I20220104000703 |
Provider Name | Anthony P Demaria |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1942284377 PECOS PAC ID: 5597750802 Enrollment ID: I20220516001417 |
Provider Name | Charles Fink Peebles |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1184684862 PECOS PAC ID: 5799797171 Enrollment ID: I20220803004060 |
Provider Name | Carmela Mack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992441869 PECOS PAC ID: 0547637720 Enrollment ID: I20221031002604 |
Provider Name | Whitney Eck |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1386248771 PECOS PAC ID: 6608288006 Enrollment ID: I20221122003028 |
Provider Name | Innocent Akwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346951670 PECOS PAC ID: 3678943750 Enrollment ID: I20230105003032 |
Provider Name | Tina O'grady Strobel |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689860868 PECOS PAC ID: 3476924721 Enrollment ID: I20230124001395 |
Provider Name | Jessica Lynn Sullivan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174024020 PECOS PAC ID: 2769869692 Enrollment ID: I20230224001237 |
Provider Name | Deanna Phillips |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1215634902 PECOS PAC ID: 8224402656 Enrollment ID: I20230324002145 |
Provider Name | Magdy Issa |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1548754930 PECOS PAC ID: 1759795578 Enrollment ID: I20230517001659 |
Provider Name | Scott Michael Hargan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548753155 PECOS PAC ID: 8022483627 Enrollment ID: I20230614002843 |
Provider Name | Lakeshia K Blanton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1154000230 PECOS PAC ID: 2961865282 Enrollment ID: I20230912003754 |
Provider Name | Mikayla Anne Walker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568144053 PECOS PAC ID: 8123482809 Enrollment ID: I20230913003683 |
Provider Name | Olivia Pierce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962276733 PECOS PAC ID: 0244671980 Enrollment ID: I20240513003483 |
Normal Life Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9901 Linn Station Rd, Louisville, KY 40223 Phone: 800-866-0860 | |
The Home Of The Innocents Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 E Market St, Louisville, KY 40206 Phone: 502-596-1088 Fax: 502-596-1449 | |
Brite Pointe Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 324 Dale Rd, Louisville, KY 40229 Phone: 502-713-1041 Fax: 502-277-1528 | |
Meghana Suchak Phd, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4010 Dupont Cir Ste 574, Louisville, KY 40207 Phone: 502-912-1498 | |
Hmr Associates, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 159 Saint Matthews Ave, Ste. 9, Louisville, KY 40207 Phone: 502-899-3205 Fax: 502-899-1403 | |
Neuroscience Associates, Psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Audubon Plaza Dr, Suite 110, Louisville, KY 40217 Phone: 502-634-3433 Fax: 502-634-3494 | |
Family Links Of Kentucky,psc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3715 Bardstown Rd, Suite 415, Louisville, KY 40218 Phone: 502-458-4530 Fax: 502-458-2070 |