360 Wellness Solutions, LLC
NPI 1447773825ActiveOrganization· Case Manager/Care Coordinator· Rancho Mirage, CA
Case Manager/Care Coordinator in Rancho Mirage, California, registered in NPPES in July 2017. The authorized official on file is Katherine Josephine Sullivan, PHD, PT, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1447773825 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 18, 2017 |
| Last updated in NPPES | Aug 24, 2022 |
| Certified by provider | Aug 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Manager/Care Coordinator Primary | 171M00000X | — | — |
| Physical Medicine & Rehabilitation | 208100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
Other Case Manager/Care Coordinator providers in Rancho Mirage
- 1235783614
- 1831752419