Organization Active NPI

Scallan Coordinated Care Services LLC

  • In Home Supportive Care Agency
  • Kingwood, TX
National Provider Identifier
1063125862
Registry record updated Feb 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SCALLAN COORDINATED CARE SERVICES LLC
Practice address
2330 Timber Shadows Dr Ste 100
Kingwood, TX 77339-2675
Phone
(832) 909-2440
NPI assigned
Dec 27, 2022
Last updated
Feb 11, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Travis Ray Scallan
Title
Owner
Phone
(832) 909-2440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2330 Timber Shadows Dr Ste 100
Kingwood, TX 77339-2675

Mailing address

19003 Relay Rd
Atascocita, TX 77346-6061
Phone (832) 909-2440

National Provider Directory

National Provider Directory

Locations

2330 Timber Shadows Dr
Ste 100
Kingwood, TX 77339
Phone (832) 909-2440

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676073600000",
    "number": "1063125862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19003 RELAY RD",
            "city": "ATASCOCITA",
            "state": "TX",
            "postal_code": "773466061",
            "telephone_number": "832-909-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 TIMBER SHADOWS DR STE 100",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392675",
            "telephone_number": "832-909-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCALLAN COORDINATED CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2023-02-11",
        "certification_date": "2023-02-11",
        "status": "A",
        "authorized_official_last_name": "SCALLAN",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-909-2440"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.