Organization Active NPI

Scof Enterprise Inc

Doing business as d/b/a SCOF Healthcare Providers

  • Home Health Agency
  • Arlington, TX
National Provider Identifier
1306983309
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
010897 Issued in TX
Legal business name
SCOF ENTERPRISE INC
Doing business as
d/b/a SCOF Healthcare Providers
Practice address
1201 N Watson Rd Ste 268
Arlington, TX 76006-6222
Phone
(817) 459-1220
Fax
(817) 459-1224
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Mr. Friday Aigbedion, RNNPI 1447874102
Title
Alt. Administrator
Phone
(817) 459-1220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 010897 TX Primary

Addresses

Primary practice location

1201 N Watson Rd Ste 268
Arlington, TX 76006-6222

Mailing address

1201 N Watson Rd Ste 268
Arlington, TX 76006-6222
Phone (817) 459-1220

Other identifiers 1

IdentifierTypeStateIssuer
010897OtherTXSTATE LICENSE

Other names 1

  • d/b/a SCOF Healthcare Providers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070627000048 TX Part A Provider - Home Health Agency 0547369878 Practice locations: Arlington, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306983309. Details of each certification follow.

Home health agency certification: CCN 743100

Legal name
SCOF ENTERPRISE INC
Doing business as
SCOF HEALTHCARE PROVIDERS
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Apr 18, 2008
Last certification
Oct 14, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
1201 N Watson Rd
Ste 268
Arlington, TX 76006-6222
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Scof Healthcare ProvidersCCN 743100 · All quality measures
Ownership
Proprietary
Certified
Apr 18, 2008
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1069653Scof Healthcare Providers1201 North Watson Road, Suite 268, Arlington, TX 76006Certificate of waiverJun 10, 2027

National Provider Directory

National Provider Directory

Locations

1201 N Watson Rd
Ste 268
Arlington, TX 76006
Phone (817) 459-1220

1201 N Watson Rd
Ste 136
Arlington, TX 76006
Phone (817) 459-1220

1619 W Division St
Ste Q
Arlington, TX 76012
Phone (817) 459-1220

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Osabuohien Eregie Individual 5% Or Greater Direct Ownership InterestAdministrator Apr 26, 2006 50%
Corporate DirectorAdministrator Apr 26, 2006 50%
Friday Uhunoma Aigbedion Individual 5% Or Greater Direct Ownership InterestAlternate Administrator Apr 26, 2006 50%
Corporate DirectorAlternate Administrator Apr 26, 2006 50%
W-2 Managing Employee Apr 26, 2006

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 7

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1306983309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 268",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066222",
            "telephone_number": "817-459-1220",
            "fax_number": "817-459-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N WATSON RD STE 268",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760066222",
            "telephone_number": "817-459-1220",
            "fax_number": "817-459-1224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOF ENTERPRISE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "AIGBEDION",
        "authorized_official_first_name": "FRIDAY",
        "authorized_official_title_or_position": "ALT.  ADMINISTRATOR",
        "authorized_official_telephone_number": "817-459-1220",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "010897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "010897",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "d/b/a SCOF Healthcare Providers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.