Signature Hospice Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SIGNATURE HOSPICE CARE LLC

Practice address

66 N Rte 17 Ste 2
Paramus, NJ 07652-2742

Phone

(201) 956-7896

NPI assigned

Jul 15, 2017

Organization subpart

No

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

Authorized official

Name

Kevin Wallis, PHD

Title

Ceo

Phone

(516) 557-7486

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1500076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1467974907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 N RTE 17, 2ND FLOOR",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522742",
            "telephone_number": "201-956-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 N RTE 17 STE 2",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522742",
            "telephone_number": "201-956-7896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WALLIS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-557-7486",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandy Pih Shumar, LMSW, BCBA, MSED
• Shahan Sibtain, M.D.
• Michael R Sicat, PA-C
• Noura Sider
• Amy Michele Siegel, M.D.
• Maya Silbert, MD
• Niecy J Silva
• Stephanie L Silva, DPT
• Silver Linning Behavioral Health and Wellness LLC
• Benjamin Paul Silverstein, MD

• Community Based Hospice Care Agency in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Community Based Hospice Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.