Provider Demographics
NPI:1033600259
Name:SIGNATURE HOME HEATLH CARE LLC
Entity Type:Organization
Organization Name:SIGNATURE HOME HEATLH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GHOLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-539-2982
Mailing Address - Street 1:9601 KATY FWY STE 495
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1342
Mailing Address - Country:US
Mailing Address - Phone:713-539-2982
Mailing Address - Fax:713-932-0442
Practice Address - Street 1:9601 KATY FWY STE 495
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1342
Practice Address - Country:US
Practice Address - Phone:713-539-2982
Practice Address - Fax:713-932-0442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-23
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX016400251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health