NPIMap

Organization Active NPI

Scott Group 010 LLC

  • Pastoral Counselor
  • Laveen, AZ
National Provider Identifier
1649086992
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
SCOTT GROUP 010 LLC
Practice address
6551 S 43Rd LN
Laveen, AZ 85339-6246
Phone
(480) 613-7677
NPI assigned
Dec 10, 2024
Organization subpart
Yes
Parent organization
SCOTT GROUP 010 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Gary A Scott, PASTORNPI 1285440529
Title
Director
Phone
(480) 613-7677

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X Primary
Lodging Provider 177F00000X
In Home Supportive Care Agency 253Z00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

6551 S 43Rd LN
Laveen, AZ 85339-6246

Mailing address

15411 W Waddell Rd Ste 102-128
Surprise, AZ 85379-5170
Phone (480) 613-7677

Other names 1

  • Heroic Housing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Scott Group 010 LLC2 organizations share this tax ID, including this one
Part of
Scott Group 010 LLC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1649086992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15411 W WADDELL RD STE 102-128",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853795170",
            "telephone_number": "480-613-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6551 S 43RD LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396246",
            "telephone_number": "480-613-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT GROUP 010 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SCOTT GROUP 010 LLC",
        "enumeration_date": "2024-12-10",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-613-7677",
        "authorized_official_credential": "PASTOR"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heroic Housing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.