Provider Demographics
NPI:1245543883
Name:SIGNATURE HEALTH CARE INC
Entity type:Organization
Organization Name:SIGNATURE HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:M
Authorized Official - Last Name:ABII
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-299-9920
Mailing Address - Street 1:3213 INTERSTATE 30
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75150-2606
Mailing Address - Country:US
Mailing Address - Phone:214-299-9920
Mailing Address - Fax:
Practice Address - Street 1:3213 INTERSTATE 30
Practice Address - Street 2:SUITE 203
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150-2606
Practice Address - Country:US
Practice Address - Phone:214-299-9920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-25
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health