MEDICARE: 360CARE AUDIOLOGY OF LOUISIANA LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist

General Provider Information

NPI Number	:	1457239535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	360CARE AUDIOLOGY OF LOUISIANA LLC

Provider Business Mailing Address
First Line	:	4350 BROWNSBORO RD STE 210
Second Line	:
City	:	LOUISVILLE
State	:	KY
Zip	:	40207-1681
Country	:	US
Telephone Number	:	248-528-2116
Fax Number	:	502-996-8282

Provider Business Practice Location Address
First Line	:	501 LOUISIANA AVE
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70802-5921
Country	:	US
Telephone Number	:	248-528-2116
Fax Number	:	502-996-8282

Authorized Official
Title or Position	:	DIRECTOR OF REVENUE ASSURANCE
Name	:	JOY STEVENS
Credential	:
Telephone Number	:	502-244-2441

Provider Enumeration Date	:	08/26/2025
Last Update Date	:	08/26/2025

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