# 360CARE PRIMARY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528982279
- **Authorized official:** JOHN DADDS (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (502) 244-2435

## Contact information

- **Practice address:** 4350 BROWNSBORO RD STE 210, LOUISVILLE, KY 40207-1681
- **Practice address phone:** (502) 244-2420
- **Practice address fax:** (502) 996-8282
- **Mailing address:** 4350 BROWNSBORO RD STE 210, LOUISVILLE, KY 40207-1681
- **Mailing address phone:** (502) 579-1797
- **Mailing address fax:** (502) 996-8282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/06/2026
- **Last updated:** 08/06/2026
