SIGNATURE HEALTH INC (NPI# 1093138299) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093138299 |
| Entity Type | Organization |
| Organization Name | SIGNATURE HEALTH INC |
| Practice Address |
1400 W 25th St 2nd Floor Cleveland OH 44113-3148 |
| Mailing Address |
1400 W 25th St Fl 2 Cleveland OH 44113-3151 |
| Practice Telephone | 2168316466 |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2017-12-19 |
| Authorized Official Name | JAMES B NAGLE (CFO) |
| Authorized Official Telephone | 2168316466 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0108205 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598169104 | Signature Health Inc | Community/Behavioral Health | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2014-10-13 |
| 1073932588 | Signature Health Inc | Pharmacy | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2014-04-11 |
| 1740502335 | Signature Health Inc | Pharmacy | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2010-02-23 |
| 1841457025 | Signature Health Inc | Pharmacy | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 | 2008-05-16 |
| Street Address |
1400 W 25TH ST 2ND FLOOR |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-3148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851857528 | Brandon M Rodriguez | Case Manager/Care Coordinator | 1400 W 25th St, Cleveland, OH 44113-3148 | 2019-02-18 |
| 1346706694 | Lakisha Crenshaw | Case Manager/Care Coordinator | 1400 W 25th St, Cleveland, OH 44113-3148 | 2019-02-12 |
| 1922563915 | Jonathan A Kort | Peer Specialist | 1400 W 25th St, Cleveland, OH 44113-3148 | 2019-02-05 |
| 1750859823 | Rachel Gulasey | Case Manager/Care Coordinator | 1400 W 25th St, Cleveland, OH 44113-3148 | 2018-11-07 |
| 1891286340 | Aliyah Hines | Case Manager/Care Coordinator | 1400 W 25th St, Cleveland, OH 44113-3148 | 2018-05-21 |
| 1548757495 | Roanne A Amatorio | Case Manager/Care Coordinator | 1400 W 25th St, Cleveland, OH 44113-3148 | 2018-04-17 |
| 1417315169 | Maria Colon | Licensed Practical Nurse | 1400 W 25th St, Cleveland, OH 44113-3148 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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|---|---|---|---|---|
| 1538663281 | Black Bear Pharmacy, Inc. | Pharmacy | 110 Keith St Sw Ste 1and2, Cleveland, TN 37311-5868 | 2018-03-19 |
| 1083644090 | Omnicare Pharmacy of Tennessee, LLC | Pharmacy | 145 Industrial Way Sw, Cleveland, TN 37311-7114 | 2006-07-04 |
| 1689611493 | Cleveland Worx LLC | Pharmacy | 1690 25th St Nw Suite A, Cleveland, TN 37311 | 2006-06-01 |
| 1972153708 | Cooke Food Store Inc | Pharmacy | 3400 Keith Street, Cleveland, TN 37312 | 2019-09-13 |
| 1609273630 | Ltc Pharmacy Services LLC | Pharmacy | 3915 Adkisson Dr Nw, Cleveland, TN 37312-2821 | 2014-11-19 |
| 1710220918 | Pharmacy Home Care of East Tennessee, Inc | Pharmacy | 120 23rd St Nw, Cleveland, TN 37311-3845 | 2013-04-05 |
| 1598775181 | Forshee/carder Pharmacies, Inc. | Pharmacy | 2850 Westside Dr Nw, Suite E, Cleveland, TN 37312-3503 | 2006-08-08 |
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|---|---|---|---|---|
| 1194323162 | East Ohio Regional Hospital | Pharmacy | 90 N 4th Street, Martins Ferry, OH 43935 | 2020-10-13 |
| 1083228852 | Harvest Grove Ltc LLC | Pharmacy | 10335 S Medallion Dr, Cincinnati, OH 45241-4825 | 2020-08-31 |
| 1801416789 | Pill Box Inc | Pharmacy | 1400 Sr 125, Amelia, OH 45102-2650 | 2020-04-21 |
| 1386271591 | Easterday Pharmacy LLC | Pharmacy | 1696 S. Arch Ave, Alliance, OH 44601 | 2020-03-26 |
| 1659911105 | Pillbox Pharmacy, LLC | Pharmacy | 324 Main St Ste B, Toledo, OH 43605-2038 | 2020-01-13 |
| 1053967364 | Ksar LLC | Pharmacy | 2245 W Dublin Granville Rd Ste 103, Worthington, OH 43085-3336 | 2019-08-13 |
| 1629639281 | Hhc Enterprises Inc | Pharmacy | 1451 Yauger Rd Ste 1h, Mount Vernon, OH 43050-7902 | 2019-06-25 |
| 1639730369 | Pharm Investco LLC | Pharmacy | 434 Alexandersville Rd, Miamisburg, OH 45342-3658 | 2019-06-24 |
| 1710542220 | Kratzer Pharmacy Inc. | Pharmacy | 187 W Locust St, Wilmington, OH 45177 | 2019-05-09 |
| 1760963326 | Fitzgerald Seaman Pharmacy | Pharmacy | 17860 St Rt 247, Seaman, OH 45679 | 2018-08-22 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.