Scott D. Skinner Inc. Dba Comfort Keepers #307

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

16-011724-1 Issued in IN

Legal business name

SCOTT D. SKINNER INC. DBA COMFORT KEEPERS #307

Practice address

1803 S Creasy LN
Lafayette, IN 47905-4943

Phone

(765) 449-9797

NPI assigned

Feb 9, 2017

Organization subpart

No

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

Authorized official

Name

Scott Skinner

Title

President

Phone

(765) 427-2269

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1306384367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054943",
            "telephone_number": "765-449-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 S CREASY LN",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479054943",
            "telephone_number": "765-449-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D. SKINNER INC. DBA COMFORT KEEPERS #307",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "SKINNER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-427-2269"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "IN",
            "license": "16-011724-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200878800A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Matthew Schwartz, MD
• Natalie Schwartzel, RPH
• Annmarie Reuzenaar Schwarz, MOT, OTR
• Gregory A Schweikher, D.P.M.
• Molly Scofield
• Edward Lee Scott, PT, OCS
• Jason Andrew Scott, PHARMD
• Richard Scuderi, M.D.
• Lance Randell Seagren, MD
• Edward A Seall, M.D.

• In Home Supportive Care Agency in Lafayette, IN
• Providers in Lafayette, IN by specialty
• In Home Supportive Care Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.