Provider Demographics
NPI:1588135073
Name:SCRUGGS FAMILY HOLDINGS, INC.
Entity type:Organization
Organization Name:SCRUGGS FAMILY HOLDINGS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BOBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCRUGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-470-2165
Mailing Address - Street 1:4609 MONT BLANC DR
Mailing Address - Street 2:
Mailing Address - City:BEE CAVE
Mailing Address - State:TX
Mailing Address - Zip Code:78738-4004
Mailing Address - Country:US
Mailing Address - Phone:512-470-2165
Mailing Address - Fax:737-404-4244
Practice Address - Street 1:3930 BEE CAVES ROAD
Practice Address - Street 2:BUILDING 2, SUITE H
Practice Address - City:WEST LAKE HILLS
Practice Address - State:TX
Practice Address - Zip Code:78746-6949
Practice Address - Country:US
Practice Address - Phone:512-329-2555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-10
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX803141553OtherASSUMED NAME CERTIFICATE