NPIMap

Organization Active NPI

Signature Healthcare Services LLC

  • Skilled Nursing Facility
  • Eagle Pass, TX
National Provider Identifier
1104910884
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
9337 Issued in TX
Legal business name
SIGNATURE HEALTHCARE SERVICES LLC
Practice address
3839 Megan Street
Eagle Pass, TX 78852
Phone
(830) 758-1889
Fax
(830) 758-1714
NPI assigned
Oct 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joe B Dawson Jr., BA, MA, LNFA, LHA
Title
President Coo
Phone
(830) 758-1889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 9337 TX Primary

Addresses

Primary practice location

3839 Megan Street
Eagle Pass, TX 78852

Mailing address

590 East Main Street
Suite E
Eagle Pass, TX 78852
Phone (830) 758-1889

National Provider Directory

National Provider Directory
Tax ID family
Royal Healthcare and Assisted Living Community4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3039 Megan St
Eagle Pass, TX 78852
Phone (830) 758-1889

3839 Megan St
Eagle Pass, TX 78852
Phone (830) 758-1889

590 E Main St
Eagle Pass, TX 78852

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104910884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 EAST MAIN STREET",
            "address_2": "SUITE E",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "78852",
            "telephone_number": "830-758-1889",
            "fax_number": "830-758-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3839 MEGAN STREET",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "78852",
            "telephone_number": "830-758-1889",
            "fax_number": "830-758-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT  COO",
        "authorized_official_telephone_number": "830-758-1889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "BA, MA, LNFA, LHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "9337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle Pass, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.