OrganizationActive
360 Case Management LLC
NPI 1497387179 · Case Management Agency · Aiken, SC
Provider details
- NPI number
- 1497387179
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Juanethea Bryant-Lord, Owner(803) 226-0236
Specialties & taxonomies
Agencies
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Nutrition Education Nutritionist133NN1002X
Dietary & Nutritional Service Providers
- Case Management Registered Nurse163WC0400X
Nursing Service Providers
- Health & Wellness Coach171400000X
Other Service Providers
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
35 Varden Dr Ste a
Aiken, SC 29803-5275
Phone: (803) 226-0236
Fax: (803) 226-0335
Approximate (ZIP-level) locationGet directions
Mailing address
35 Varden Dr Ste a
Aiken, SC 29803-5275
Registry dates
- Enumerated
- 2020-02-10
- Last updated
- 2024-03-16
- Certified
- 2024-03-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.