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NPI 1588135073

NPI 1588135073 : SCRUGGS FAMILY HOLDINGS, INC. : WEST LAKE HILLS, TX

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General NPI Number Information
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    NPI Number           |    1588135073
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCRUGGS FAMILY HOLDINGS, INC. 
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Dates
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    Enumeration Date     |    12/10/2018
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    Last Update Date     |    10/12/2022
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Provider Practice Location Address
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    Address Line         |    3930 BEE CAVES ROAD BUILDING 2, SUITE H
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    City                 |    WEST LAKE HILLS
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    State                |    TX
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    Zip                  |    78746-6949
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    Country              |    US
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    Telephone            |    512-329-2555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4609 MONT BLANC DR 
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    City                 |    BEE CAVE
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    State                |    TX
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    Zip                  |    78738-4004
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    Country              |    US
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    Telephone            |    512-470-2165
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    Fax                  |    737-404-4244
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Authorized Official
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    Title or Position    |    OWNER/PRESIDENT/CEO
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    Name                 |    MR. BOBBY  SCRUGGS 
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    Credential           |    
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    Telephone            |    512-470-2165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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