360 Prime Care

Primary specialty

ReflexologistTaxonomy code 173C00000X

Legal business name

360 PRIME CARE

Practice address

47028 Ben Franklin Dr
Shelby Township, MI 48315-4604

Phone

(586) 484-8891

Fax

(586) 323-1130

NPI assigned

Jun 29, 2021

Last updated

Jun 29, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lance Thomason

Title

Manager

Phone

(586) 484-8891

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1417527656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47028 BEN FRANKLIN DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154604",
            "telephone_number": "586-484-8891",
            "fax_number": "586-323-1130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47028 BEN FRANKLIN DR",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483154604",
            "telephone_number": "586-484-8891",
            "fax_number": "586-323-1130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 PRIME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "THOMASON",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "586-484-8891",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reflexologist in Shelby Township, MI
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• Reflexologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.