Provider Demographics
NPI:1588921191
Name:SCEPTER,LLC
Entity type:Organization
Organization Name:SCEPTER,LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:O
Authorized Official - Last Name:BALOGUN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-612-1410
Mailing Address - Street 1:4141 PANTHER RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-7789
Mailing Address - Country:US
Mailing Address - Phone:718-612-1410
Mailing Address - Fax:972-423-1302
Practice Address - Street 1:4141 PANTHER RIDGE LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-7789
Practice Address - Country:US
Practice Address - Phone:718-612-1410
Practice Address - Fax:972-423-1302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health