Provider Demographics
NPI:1093199887
Name:K. SCROGGINS INVESTMENTS
Entity Type:Organization
Organization Name:K. SCROGGINS INVESTMENTS
Other - Org Name:EVERLASTING IMPRESSION HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TAURUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SCROGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-400-1353
Mailing Address - Street 1:2531 BISBANE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-2850
Mailing Address - Country:US
Mailing Address - Phone:832-666-5550
Mailing Address - Fax:832-666-5551
Practice Address - Street 1:13906 CRESTBOURNE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-1977
Practice Address - Country:US
Practice Address - Phone:713-391-5353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-12
Last Update Date:2015-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility