Provider Demographics
NPI:1609383215
Name:SIGNAL HEALTH GROUP INC
Entity Type:Organization
Organization Name:SIGNAL HEALTH GROUP INC
Other - Org Name:SIGNAL HEALTH GROUP, NON-MEDICAL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:HAHN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-238-1381
Mailing Address - Street 1:PO BOX 17460
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46217-0460
Mailing Address - Country:US
Mailing Address - Phone:800-260-6145
Mailing Address - Fax:888-681-9011
Practice Address - Street 1:625 S TILLOTSON AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-4449
Practice Address - Country:US
Practice Address - Phone:800-260-6145
Practice Address - Fax:888-681-9011
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SIGNAL HEALTH GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-01-04
Last Update Date:2019-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201284430AMedicaid