Provider Demographics
NPI:1881398527
Name:S.C.S. HOME CARE LLC
Entity type:Organization
Organization Name:S.C.S. HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:810-627-1778
Mailing Address - Street 1:2080 CROWN RD
Mailing Address - Street 2:
Mailing Address - City:FILION
Mailing Address - State:MI
Mailing Address - Zip Code:48432-9738
Mailing Address - Country:US
Mailing Address - Phone:810-627-1778
Mailing Address - Fax:
Practice Address - Street 1:26 E SANILAC RD
Practice Address - Street 2:
Practice Address - City:SANDUSKY
Practice Address - State:MI
Practice Address - Zip Code:48471-1136
Practice Address - Country:US
Practice Address - Phone:810-627-1778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-28
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health