Provider Demographics
NPI:1801580725
Name:SIGNATURECARE HOME HEALTH, LLC
Entity type:Organization
Organization Name:SIGNATURECARE HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KELLE
Authorized Official - Middle Name:N
Authorized Official - Last Name:SMITH POUGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-965-9613
Mailing Address - Street 1:1481 WARRENSVILLE CENTER RD UPPR 1
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-2685
Mailing Address - Country:US
Mailing Address - Phone:216-417-4444
Mailing Address - Fax:216-291-5433
Practice Address - Street 1:1481 WARRENSVILLE CENTER RD #1
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121
Practice Address - Country:US
Practice Address - Phone:216-417-4444
Practice Address - Fax:216-291-5433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-05
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care