OrganizationActive
360care LLC
NPI 1497377980 · Nurse Practitioner · Columbia, SC
Provider details
- NPI number
- 1497377980
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Joy Stevens, Director of Credentialing(502) 244-2441
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1703 Laurel St
Columbia, SC 29201-2660
Phone: (502) 244-2420
Fax: (502) 996-8282
Approximate (ZIP-level) locationGet directions
Mailing address
12910 Shelbyville Rd Ste 300
Louisville, KY 40243-2404
Registry dates
- Enumerated
- 2020-05-07
- Last updated
- 2020-05-07
- Certified
- 2020-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.