NPIMap

Organization Active NPI

Signature Healthcare Services, I, LLC

  • Custodial Care Facility
  • Eagle Pass, TX
National Provider Identifier
1164563235
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
010320 Issued in TX
Legal business name
SIGNATURE HEALTHCARE SERVICES, I, LLC
Practice address
590 E Main St Ste E
Same
Eagle Pass, TX 78852-4772
Phone
(830) 758-1889
Fax
(830) 758-1714
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Authorized official

Name
Mr. Joe B. Dawson, BA,MA,LNFA,LHA
Title
Ceo, Owner
Phone
(830) 758-1889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X 010320 TX Primary

Addresses

Primary practice location

590 E Main St Ste E
Same
Eagle Pass, TX 78852-4772

Mailing address

590 E Main St Ste E
P.O. Box 3176
Eagle Pass, TX 78852-4772
Phone (830) 758-1889

Other names 1

  • Signature Healthcare Services Doing business as

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

590 E Main St
Ste E
Eagle Pass, TX 78852
Phone (830) 758-1889

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693958400000",
    "number": "1164563235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 E MAIN ST STE E",
            "address_2": "P.O. BOX 3176",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524772",
            "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": "590 E MAIN ST STE E",
            "address_2": "SAME",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524772",
            "telephone_number": "830-758-1889",
            "fax_number": "830-758-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HEALTHCARE SERVICES, I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2023-09-06",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "830-758-1889",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA,MA,LNFA,LHA"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "TX",
            "license": "010320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Signature Healthcare Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 6, 2023; 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.