Active NPI
360Care Audiology of Virginia LLC
- Audiologist
- Richmond, VA
National Provider Identifier
1821988031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- Legal business name
- 360CARE AUDIOLOGY OF VIRGINIA LLC
- Practice address
- 100 Shockoe Slip FL 2
Richmond, VA 23219-4100 - Phone
- (248) 528-2116
- Fax
- (502) 996-8282
- NPI assigned
- Jul 8, 2025
- Last updated
- Mar 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacob Archibald
- Title
- Director of Credentialing
- Phone
- (502) 579-1797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | NU | Primary |
Addresses
Primary practice location
100 Shockoe Slip FL 2
Richmond, VA 23219-4100
Mailing address
4350 Brownsboro Rd Ste 210
Louisville, KY 40207-1681
Phone (248) 528-2116
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1111 E Main St
Richmond, VA 23219
Phone (804) 648-0900
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Audiologist
- Gainesville, VA
- NPI 1851564348
-
- Audiologist
- Henrico, VA
- NPI 1053552356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773792000000",
"number": "1821988031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4350 BROWNSBORO RD STE 210",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402071681",
"telephone_number": "248-528-2116",
"fax_number": "502-996-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SHOCKOE SLIP FL 2",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232194100",
"telephone_number": "248-528-2116",
"fax_number": "502-996-8282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "360CARE AUDIOLOGY OF VIRGINIA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-08",
"last_updated": "2026-03-18",
"certification_date": "2026-03-18",
"status": "A",
"authorized_official_last_name": "ARCHIBALD",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "DIRECTOR OF CREDENTIALING",
"authorized_official_telephone_number": "502-579-1797"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
- 1St Advanced Pediatric &Adult Healthcare Services LLC
- 1St Choice Lab Services LLC
- 1St. Stick Medical Draw Station (1st. Stick Medical)
- 2D Diagnostic of Virginia, Inc
- 3202 Rosedale Properties LLC (Visiting Angels Living Assistance Services)
- 360Care Dental of Virginia LLC
- 360Care Optometry of Virginia LLC
- 360Care Podiatry of Virginia LLC
- 3K Care
- 5 Dimes Transportation LLC (n/a)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.