Provider Demographics
NPI:1851069215
Name:SCOTT FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:SCOTT FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATONIA
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-399-3265
Mailing Address - Street 1:1910 PARKER AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:VA
Mailing Address - Zip Code:23704-5537
Mailing Address - Country:US
Mailing Address - Phone:757-399-3265
Mailing Address - Fax:757-393-2980
Practice Address - Street 1:1910 PARKER AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:VA
Practice Address - Zip Code:23704-5537
Practice Address - Country:US
Practice Address - Phone:757-399-3265
Practice Address - Fax:757-393-2980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health