SIGNATURE HEALTH INC (NPI# 1740502335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740502335 |
| Entity Type | Organization |
| Organization Name | SIGNATURE HEALTH INC |
| Other Organization Name | SIGNATURE HEALTH |
| Practice Address |
38882 Mentor Ave Willoughby OH 44094-7875 |
| Practice Telephone | 4409539999 |
| Practice Fax Number | 4409549501 |
| Mailing Telephone | 4409539999 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2017-03-23 |
| Authorized Official Name | KELLEY SULLIVAN (PHARMACY MANAGER) |
| Authorized Official Telephone | 4409539999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
021420150 | OH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 3042102 | 05 | |
| PK | 2124315 | 01 | |
| OH | 2325835 | 05 |
| Other Name | Type Code |
|---|---|
| Signature Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093138299 | Signature Health Inc | Pharmacy | 1400 W 25th St, 2nd Floor, Cleveland, OH 44113-3148 | 2014-01-24 |
| 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 |
| 1841457025 | Signature Health Inc | Pharmacy | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 | 2008-05-16 |
| Street Address |
38882 MENTOR AVE |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-7875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962510107 | Heather Marie Rice | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2006-08-28 |
| 1740895614 | Dwauna Morrow | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-09-09 |
| 1457964868 | Brandee Kelly | Counselor | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-25 |
| 1124631866 | Robert Anthony Wilson | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-24 |
| 1396358958 | Richard Thomas Sutton | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-24 |
| 1285245779 | Michael Frier | Student in an Organized Health Care Education/Training Program | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-10 |
| 1568072098 | Kathleen Marie Zarlinski | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-10 |
| 1366052441 | Lauren Lavonne Lemons | Licensed Practical Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-08-04 |
| 1831707629 | Joseph Workman | Case Manager/Care Coordinator | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-07-17 |
| 1538782776 | Erika Lee Knight | Registered Nurse | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2020-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
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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.