Provider Demographics
NPI:1083757397
Name:SCROGGINS NURSING AND HOME SERVICES, INC.
Entity type:Organization
Organization Name:SCROGGINS NURSING AND HOME SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SCROGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-873-8551
Mailing Address - Street 1:8550 W COUNTY ROAD 700 S
Mailing Address - Street 2:
Mailing Address - City:COMMISKEY
Mailing Address - State:IN
Mailing Address - Zip Code:47227-9435
Mailing Address - Country:US
Mailing Address - Phone:812-873-8551
Mailing Address - Fax:812-873-8552
Practice Address - Street 1:8550 W COUNTY ROAD 700 S
Practice Address - Street 2:
Practice Address - City:COMMISKEY
Practice Address - State:IN
Practice Address - Zip Code:47227-9435
Practice Address - Country:US
Practice Address - Phone:812-873-8551
Practice Address - Fax:812-873-8552
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010088251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health