Organization Active NPI

Signature Nursing Care Services Inc.

  • Community Based Hospice Care Agency
  • Burbank, CA
National Provider Identifier
1124644562
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SIGNATURE NURSING CARE SERVICES INC.
Practice address
4425 W Riverside Dr Ste 201a
Burbank, CA 91505-4057
Phone
(818) 210-3555
Fax
(818) 626-3066
NPI assigned
Jun 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Authorized official

Name
Ms. Edita Muradyan
Title
Ceo
Phone
(818) 210-3555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

4425 W Riverside Dr Ste 201a
Burbank, CA 91505-4057

Mailing address

4425 W Riverside Dr Ste 201a
Burbank, CA 91505-4057
Phone (818) 210-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201229002851 CA Part A Provider - Hospice 2264845759 Practice locations: Burbank, CA

Hospice certification: CCN B21637

Legal name
SIGNATURE NURSING CARE SERVICES INC.
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 10, 2021
Last certification
May 10, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
May 26, 2020 in CA
Enrollment address
4425 W Riverside Dr
Ste 201a
Burbank, CA 91505-4057

Care Compare: Hospice

Medicare Care Compare
Listed as
Signature Nursing Care Services IncCCN B21637
Ownership
For-Profit
Certified
May 10, 2021
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2224320Signature Nursing Care Services Inc4425 W Riverside Dr, Ste 201a, Burbank, CA 91505Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

4425 W Riverside Dr
Ste 201A
Burbank, CA 91505
Phone (818) 210-3555

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Edita Muradyan Individual 5% Or Greater Direct Ownership InterestCeo Apr 22, 2022 100%
Corporate OfficerCeo, Cfo, Secretary Apr 22, 2022 100%
Corporate DirectorCeo, Board Member Apr 22, 2022 100%
W-2 Managing EmployeeCeo Apr 22, 2022 100%

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1124644562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4425 W RIVERSIDE DR STE 201A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054057",
            "telephone_number": "818-210-3555",
            "fax_number": "818-626-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 W RIVERSIDE DR STE 201A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054057",
            "telephone_number": "818-210-3555",
            "fax_number": "818-626-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE NURSING CARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "MURADYAN",
        "authorized_official_first_name": "EDITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-210-3555",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

Verify at the official NPI Registry.