SIGNATURE HEALTH INC (NPI# 1073932588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073932588 |
| Entity Type | Organization |
| Organization Name | SIGNATURE HEALTH INC |
| Practice Address |
4726 Main Ave Ashtabula OH 44004-6929 |
| Practice Telephone | 4402619200 |
| Practice Fax Number | 4402619201 |
| Mailing Telephone | (440) 261-9200 |
| Mailing Fax Number | 4402619201 |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2017-09-20 |
| Authorized Official Name | KELLEY SULLIVAN (PHARMACY DIRECTOR) |
| Authorized Official Telephone | 4409543333 |
| Authorized Official Credential | PHARM D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
022363750 | OH | Suppliers |
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| 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 |
| 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 |
4726 MAIN AVE |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-6929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043360241 | Touchstone Therapeutic Services, LLC | Psychiatry & Neurology | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2007-01-11 |
| 1558968388 | Kalee Renee Peterson | Registered Nurse | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2020-10-05 |
| 1720616584 | Mia Coladangelo | Pharmacy Technician | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2020-03-29 |
| 1447888201 | Amber L Estep | Pharmacy Technician | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2020-03-29 |
| 1912531617 | Samantha Dragon | Social Worker | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2020-03-03 |
| 1225661655 | Sydney Lynne Betonte | Social Worker | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2020-02-13 |
| 1164053641 | Louise M Cleveland | Registered Nurse | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2020-02-03 |
| 1851945828 | Amanda Bosley | Case Management | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2019-07-29 |
| 1013569128 | Brandi Sherman | Case Management | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2019-07-10 |
| 1437611746 | Emelina J Rosario | Case Management | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2019-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| 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 | ||||
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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.