Organization Active NPI

360Care Audiology of Virginia LLC

  • Audiologist
  • Richmond, VA
National Provider Identifier
1821988031
Registry record updated Mar 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2026

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20260130000341 VA Part B Supplier - Clinic/Group Practice 8123506227 Receives reassigned benefits from 5 practitioners
Practice locations: Richmond, VA

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.