Organization Active NPI

Scott Community Care, PLLS

  • Case Management Agency
  • Moscow, ID
National Provider Identifier
1093833543
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SCOTT COMMUNITY CARE, PLLS
Practice address
317 W 6TH St Ste 208
Moscow, ID 83843-2387
Phone
(208) 874-2962
Fax
(208) 877-9004
NPI assigned
Mar 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Authorized official

Name
Mrs. Melanie Jayne Scott, LSW-I
Title
Owner
Phone
(208) 874-2962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

317 W 6TH St Ste 208
Moscow, ID 83843-2387

Mailing address

PO Box 307
Deary, ID 83823-0307
Phone (208) 877-1444

Other identifiers 1

IdentifierTypeStateIssuer
805009800MedicaidID

National Provider Directory

National Provider Directory
Tax ID family
Scott Community Care PLLC8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

317 W 6th St
Ste 208
Moscow, ID 83843
Phone (208) 882-3504

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1093833543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 307",
            "city": "DEARY",
            "state": "ID",
            "postal_code": "838230307",
            "telephone_number": "208-877-1444",
            "fax_number": "208-877-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 6TH ST STE 208",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432387",
            "telephone_number": "208-874-2962",
            "fax_number": "208-877-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT COMMUNITY CARE, PLLS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "JAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-874-2962",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW-I"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805009800",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moscow, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.