Provider Demographics
NPI:1558894089
Name:SCOTT SENIOR SERVICES, LLC
Entity Type:Organization
Organization Name:SCOTT SENIOR SERVICES, LLC
Other - Org Name:HOME INSTEAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:813-633-0333
Mailing Address - Street 1:16547 S US HIGHWAY 301
Mailing Address - Street 2:
Mailing Address - City:WIMAUMA
Mailing Address - State:FL
Mailing Address - Zip Code:33598-2032
Mailing Address - Country:US
Mailing Address - Phone:813-633-0333
Mailing Address - Fax:137-775-2135
Practice Address - Street 1:16547 S US HIGHWAY 301
Practice Address - Street 2:
Practice Address - City:WIMAUMA
Practice Address - State:FL
Practice Address - Zip Code:33598-2032
Practice Address - Country:US
Practice Address - Phone:813-633-0333
Practice Address - Fax:813-775-2135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-11
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X, 253Z00000X
FLHCS234718376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL299994756OtherFLORIDA NON-MEDICAL HOME HEALTH CARE LICENSE