SIGNATURE HEALTH INC. (NPI# 1487199931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487199931 |
| Entity Type | Organization |
| Organization Name | SIGNATURE HEALTH INC. |
| Practice Address |
462 Chardon St Painesville OH 44077-3019 |
| Practice Telephone | 4408531501 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |
| Authorized Official Name | RYAN WOOD (CFO) |
| Authorized Official Telephone | 4409539999 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336687482 | Signature Health Inc. | Clinic/Center | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2017-02-09 |
| 1063950111 | Signature Health Inc. | Clinic/Center | 4726 Main Ave, Ashtabula, OH 44004-6929 | 2017-02-09 |
| 1871031922 | Signature Health Inc. | Clinic/Center | 5410 Transportation Blvd, Garfield Hts, OH 44125-5380 | 2017-02-09 |
| 1598203648 | Signature Health Inc. | Clinic/Center | 5410 Transportation Blvd, Garfield Hts, OH 44125-5380 | 2017-02-09 |
| 1710423355 | Signature Health Inc. | Clinic/Center | 462 Chardon St, Painesville, OH 44077-3019 | 2017-01-06 |
| 1841735446 | Signature Health Inc. | Clinic/Center | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2017-01-05 |
| 1093250169 | Signature Health Inc. | Clinic/Center | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2016-12-28 |
| 1366987554 | Signature Health Inc. | Clinic/Center | 38882 Mentor Ave, Willoughby, OH 44094-7875 | 2016-12-27 |
| 1184170136 | Signature Health Inc. | Clinical Medical Laboratory | 38879 Mentor Ave, Willoughby, OH 44094-7992 | 2016-08-30 |
| Street Address |
462 CHARDON ST |
| City | PAINESVILLE |
| State | OH |
| Zip Code | 44077-3019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962615518 | Roger J Mize | Social Worker | 462 Chardon St, Painesville, OH 44077-3019 | 2007-05-08 |
| 1134735780 | John Kozelj | Social Worker | 462 Chardon St, Painesville, OH 44077-3019 | 2020-09-18 |
| 1952955932 | Angela Valdez | Case Management | 462 Chardon St, Painesville, OH 44077-3019 | 2019-07-29 |
| 1417413956 | Stephanie J Hiser | Case Manager/Care Coordinator | 462 Chardon St, Painesville, OH 44077-3019 | 2019-02-20 |
| 1932664828 | Kelly L Sanders | Licensed Practical Nurse | 462 Chardon St, Painesville, OH 44077-3019 | 2019-02-05 |
| 1336617901 | Kristin R Wenum | Social Worker | 462 Chardon St, Painesville, OH 44077-3019 | 2018-11-13 |
| 1952885113 | Bliss Knight | Registered Nurse | 462 Chardon St, Painesville, OH 44077-3019 | 2018-09-24 |
| 1487167466 | Megan Bosland | Case Management | 462 Chardon St, Painesville, OH 44077-3019 | 2017-11-13 |
| 1780103309 | Jennifer Amber Acitelli-stofan | Registered Nurse | 462 Chardon St, Painesville, OH 44077-3019 | 2017-09-14 |
| 1689112112 | Georgia Zinsser Lewis | Nurse Practitioner | 462 Chardon St, Painesville, OH 44077-3019 | 2017-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821695594 | Signature Health Inc. Pharmacy | Pharmacy | 54 South Saint Claire, Painesville, OH 44077 | 2020-10-06 |
| 1164053385 | Elaine Marie Nelson | Technician, Other | Cosmetic Laser Inc, 8353 Mentor Ave. Unit 7, Mentor, OH 44077 | 2020-01-27 |
| 1760039309 | Laura Bradford | Occupational Therapy Assistant | 12428 Concord-hambden Road, Concord, OH 44077 | 2019-08-19 |
| 1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
| 1093208662 | Lindsey Elaine Varckette | Physical Therapy Assistant | 60 Wood Street, Painesville, OH 44077 | 2018-06-08 |
| 1083116578 | Brian Mills | Hearing Instrument Specialist | 1920 Mentor Ave, Painesville, OH 44077 | 2018-03-01 |
| 1033610324 | Julia Nicole Chase | Pharmacist | 180 W State Street, Painesville, OH 44077 | 2018-02-22 |
| 1104343631 | Donna Sheahan | Nurse Practitioner | 236 Ardmore Blvd, Painesville, OH 44077 | 2017-08-25 |
| 1417474198 | Jacqueline Owens | Registered Nurse | 7757 Auburn Rd, Ste 6 &7, Concord Twp., OH 44077 | 2017-08-24 |
| 1689197303 | Michelle Claire Pierce | Registered Nurse | 311 W. Walnut Ave., Painesville, OH 44077 | 2017-07-25 |
| Find all providers in zip 44077 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
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| 1639783996 | Erie County Office of Auditor | Clinic/Center | 34 Executive Dr Ste A, Norwalk, OH 44857-2490 | 2020-09-03 |
| 1083231872 | Health Partners of Western Ohio | Clinic/Center | 550 S Collett St Ste 1, Lima, OH 45805-3210 | 2020-06-29 |
| 1366068405 | Muskingum Valley Health Centers | Clinic/Center | 225 W Union Ave Ste 100, West Lafayette, OH 43845-1150 | 2020-06-24 |
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| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1376177303 | Erie County Office of Auditor | Clinic/Center | 1925 Hayes Ave Ste B, Sandusky, OH 44870-4737 | 2020-02-28 |
| 1407480593 | Erie County Office of Auditor | Clinic/Center | 333 Buckeye Blvd Ste B, Port Clinton, OH 43452-2475 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | PAINESVILLE |
| Zip Code | 44077 |
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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.