Signature Healthcare LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

OT005651 Issued in GA

Legal business name

SIGNATURE HEALTHCARE LLC

Practice address

811 Kennesaw Ave NW
Marietta, GA 30060-1002

Phone

(770) 422-2451

NPI assigned

Jun 12, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brittany Thomas

Title

Speech Therapist

Phone

(770) 422-2451

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1370995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370995200000",
    "number": "1053759936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 KENNESAW AVE NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 KENNESAW AVE NW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601002",
            "telephone_number": "770-422-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-12",
        "last_updated": "2013-06-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "BRITTANY",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "770-422-2451"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "OT005651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherlyne Sidney, PT
• Jordan Leslie Siegall, CCC-SLP
• Burton Everett Siegel, M.D.
• Sheri Michelle Siegel, PH.D.
• Luke Alexander Bradford Siegmann, PT, DPT, OCS
• Stan J. Sikorski, LPC
• Silasmasih in-Home Therapy Services,LLC
• Martin L Silbiger, MD
• Silk HC, LLC
• Silver Nest Home Care, LLC

• Skilled Nursing Facility in Marietta, GA
• Providers in Marietta, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.