Provider Demographics
NPI:1871983171
Name:SCOTT'S PERSONAL ASSISTANTS LLC
Entity type:Organization
Organization Name:SCOTT'S PERSONAL ASSISTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:KAKASULEFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-385-0633
Mailing Address - Street 1:1817 DOGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:KOKOMO
Mailing Address - State:IN
Mailing Address - Zip Code:46902-5738
Mailing Address - Country:US
Mailing Address - Phone:765-457-5847
Mailing Address - Fax:765-457-8147
Practice Address - Street 1:1817 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:KOKOMO
Practice Address - State:IN
Practice Address - Zip Code:46902-5738
Practice Address - Country:US
Practice Address - Phone:765-457-5847
Practice Address - Fax:765-457-8147
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-26
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN140131731253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care