MEDICARE: SCOGG CONSTRUCTION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171WH0202X	Home Modifications Contractor

General Provider Information

NPI Number	:	1366392730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOGG CONSTRUCTION LLC

Provider Business Mailing Address
First Line	:	7333 SILVER RIDGE DR NE
Second Line	:
City	:	ROCKFORD
State	:	MI
Zip	:	49341-7668
Country	:	US
Telephone Number	:	616-299-4291
Fax Number	:

Provider Business Practice Location Address
First Line	:	7333 SILVER RIDGE DR NE
Second Line	:
City	:	ROCKFORD
State	:	MI
Zip	:	49341-7668
Country	:	US
Telephone Number	:	616-299-4291
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	FRANK SCOGG
Credential	:
Telephone Number	:	616-322-6600

Provider Enumeration Date	:	02/03/2026
Last Update Date	:	02/03/2026

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Directions to “SCOGG CONSTRUCTION LLC ” Practice Location

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