360 Case Management LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

360 CASE MANAGEMENT LLC

Practice address

35 Varden Dr Ste a
Aiken, SC 29803-5275

Phone

(803) 226-0236

Fax

(803) 226-0335

NPI assigned

Feb 10, 2020

Last updated

Mar 16, 2024By 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

Juanethea Bryant-LordNPI 1588201370

Title

Owner

Phone

(803) 226-0236

Specialties & licenses 7

Addresses

Other identifiers 4

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Juanethea Bryantlord, NBC-HWC

  • Health & Wellness Coach
  • Aiken, SC
  • NPI 1588201370
  NPD Authorized official

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710547200000",
    "number": "1497387179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 VARDEN DR STE A",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035275",
            "telephone_number": "803-226-0236",
            "fax_number": "803-226-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 VARDEN DR STE A",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298035275",
            "telephone_number": "803-226-0236",
            "fax_number": "803-226-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "360 CASE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "BRYANT-LORD",
        "authorized_official_first_name": "JUANETHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-226-0236"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003230056A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003227886B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003227886A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EX1856",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gammis",
            "affiliation": "N",
            "address_1": "35 Varden Dr Ste A",
            "city": "Aiken",
            "state": "SC",
            "country_code": "US",
            "postal_code": "298035275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Case Management Agency in Aiken, SC
• Providers in Aiken, SC by specialty
• Case Management Agency in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; 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.