Provider Demographics
NPI:1558508051
Name:SIGNATURE HOMECARE SERVICES INC
Entity Type:Organization
Organization Name:SIGNATURE HOMECARE SERVICES INC
Other - Org Name:SIGNATURE HOSPICE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRITZ
Authorized Official - Middle Name:
Authorized Official - Last Name:LUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-942-1256
Mailing Address - Street 1:7820 GRAPHIC DR STE 201
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-6278
Mailing Address - Country:US
Mailing Address - Phone:773-685-9025
Mailing Address - Fax:773-685-9066
Practice Address - Street 1:519 FRANKLIN ST STE 102
Practice Address - Street 2:
Practice Address - City:MORRIS
Practice Address - State:IL
Practice Address - Zip Code:60450-1881
Practice Address - Country:US
Practice Address - Phone:815-942-1256
Practice Address - Fax:815-942-5203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-21
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILAPPLIED FOR251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based