Provider Demographics
NPI:1477854537
Name:SIGNATURE CARE, LLC
Entity Type:Organization
Organization Name:SIGNATURE CARE, LLC
Other - Org Name:SIGNATURE CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHOLOM
Authorized Official - Middle Name:
Authorized Official - Last Name:EISEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-435-2444
Mailing Address - Street 1:7603 NEW UTRECHT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-1021
Mailing Address - Country:US
Mailing Address - Phone:718-435-2444
Mailing Address - Fax:718-284-2316
Practice Address - Street 1:7603 NEW UTRECHT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-1021
Practice Address - Country:US
Practice Address - Phone:718-435-2444
Practice Address - Fax:718-284-2316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-05
Last Update Date:2014-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1307L001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health