360 INFUSION CENTER – NPI #1649861790
Clinic/Center

360 INFUSION CENTER is an AHC clinic located in BROOKSVILLE, FL. NPPES has assigned the NPI number 1649861790 to 360 INFUSION CENTER on February 01, 2021. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “360 INFUSION CENTER” is a dba name, the actual legal business name for this organization is 360 MEDICAL CARE LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QI0500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Infusion Therapy Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Oct 16, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 360 INFUSION CENTER below.

NPI Profile for
360 MEDICAL CARE LLC

NPI Number
1649861790
Enumeration Date

(more than 5 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
360 MEDICAL CARE LLC
Doing Business As (dba): 360 INFUSION CENTER
Primary location
14107 CORTEZ BLVD
BROOKSVILLE, FL 34613
Phone: (352) 549-9962 Fax: (352) 549-9963
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
GATUAM THAKKAR
MANAGER
Phone: (352) 549-9962
Updated
Certification Date
Oct 16, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QI0500X
- Clinic/Center / Infusion Therapy (Primary)
3336H0001X
- Pharmacy / Home Infusion Therapy Pharmacy
261QM1300X
- Clinic/Center / Multi-Specialty
208D00000X
- General Practice
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
CLINIC
Endpoint type
CONNECT URL
Endpoint Description
EMR
Content Type
CSV
Affiliation
N
Endpoint Location
14107 CORTEZ BLVD,
BROOKSVILLE, FL 77025-1669