Scoego LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

SCOEGO LLC

Practice address

12433 SE 275TH PL
Kent, WA 98030-8518

Phone

(206) 698-0592

Fax

(253) 487-5159

NPI assigned

Aug 21, 2024

Organization subpart

No

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

Authorized official

Name

Scholar W Mponzi

Title

Provider

Phone

(206) 698-0592

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1194558783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12433 SE 275TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308518",
            "telephone_number": "206-698-0592",
            "fax_number": "253-487-5159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12433 SE 275TH PL",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980308518",
            "telephone_number": "206-698-0592",
            "fax_number": "253-487-5159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOEGO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "MPONZI",
        "authorized_official_first_name": "SCHOLAR",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "206-698-0592"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Schriever, COTA
• Brianna Schuette, MA
• Hanna Renee Schultheis
• Leanne M Schultheis, LMP
• McKenzie Mya Schultz
• Cara Scott
• Caroline S Scott, SLP
• Jennifer E Scott
• Judith Eunice Scott, RN
• Lanisha Scott

• Adult Care Home Facility in Kent, WA
• Providers in Kent, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.