Provider Demographics
NPI:1578155651
Name:360 SENIOR HEALTHCARE INC
Entity Type:Organization
Organization Name:360 SENIOR HEALTHCARE INC
Other - Org Name:360 SENIOR HEALTHCARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ABDULKADIR
Authorized Official - Middle Name:HASHI
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-407-6666
Mailing Address - Street 1:3012 GLENMORE AVE STE 302
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-2258
Mailing Address - Country:US
Mailing Address - Phone:513-407-6666
Mailing Address - Fax:513-407-3060
Practice Address - Street 1:3012 GLENMORE AVE STE 302
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45238-2258
Practice Address - Country:US
Practice Address - Phone:513-407-6666
Practice Address - Fax:513-407-3060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health