Provider Demographics
NPI:1003475948
Name:SIGNATURE HOSPICE & PALLIATIVE CARE LLC
Entity Type:Organization
Organization Name:SIGNATURE HOSPICE & PALLIATIVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADEBAYO
Authorized Official - Middle Name:
Authorized Official - Last Name:OSHINUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-261-2083
Mailing Address - Street 1:7322 SOUTHWEST FWY STE 660 RM C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2082
Mailing Address - Country:US
Mailing Address - Phone:346-341-0172
Mailing Address - Fax:346-341-0165
Practice Address - Street 1:7322 SOUTHWEST FWY STE 660
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2082
Practice Address - Country:US
Practice Address - Phone:346-341-0172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2021-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based