Active NPI
Signature Nursing Care Services Inc.
- Community Based Hospice Care Agency
- Burbank, CA
National Provider Identifier
1124644562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- For-Profit
- Certified
- May 10, 2021
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2224320 | Signature Nursing Care Services Inc | Certificate of waiver | May 11, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Edita Muradyan | 5% Or Greater Direct Ownership Interest | Apr 22, 2022 | 100% |
| Corporate Officer | Apr 22, 2022 | 100% | |
| Corporate Director | Apr 22, 2022 | 100% | |
| W-2 Managing Employee | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.