Signature Senior Care

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

SIGNATURE SENIOR CARE

Practice address

450 State Road 13 Ste 106
#236
Saint Johns, FL 32259-3863

Phone

(904) 647-8088

NPI assigned

Nov 18, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Robert Duncan

Title

Owner

Phone

(904) 647-8088

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1290038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290038400000",
    "number": "1427350784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 STATE ROAD 13 STE 106",
            "address_2": "#236",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 STATE ROAD 13 STE 106",
            "address_2": "#236",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322593863",
            "telephone_number": "904-647-8088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-18",
        "last_updated": "2010-11-18",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-647-8088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Michele Sheffield
• Reda Ahmad Shihadeh, OTR/L
• Douglas Mark Shine, L.C.S.W.
• Deborah Lynn Shon, MPT
• Christine Sierra, RDMS
• Shana Simmons
• Aaron Joshua Simms, LAT, ATC
• Detra Shauntel Simpo, OTR/L
• Ethan M Sincoff, LMHC
• Courtney Skipworth, RN, IBCLC

• Adult Companion in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Adult Companion in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.