Provider Demographics
NPI:1760710347
Name:360 HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:360 HEALTH SERVICES, LLC
Other - Org Name:ALL CARE HOME HEALTH & HOSPICE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR OF OP/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:CLINT
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-986-4900
Mailing Address - Street 1:715 DISCOVERY BLVD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2287
Mailing Address - Country:US
Mailing Address - Phone:512-986-4900
Mailing Address - Fax:
Practice Address - Street 1:715 DISCOVERY BLVD
Practice Address - Street 2:SUITE 105
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2287
Practice Address - Country:US
Practice Address - Phone:512-986-4900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-19
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based