Signature Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SIGNATURE HOSPICE, LLC

Practice address

8205 NE 23Rd St
Oklahoma City, OK 73141-1826

Phone

(405) 405-0103

Fax

(405) 367-1333

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Malane C Harbour

Title

Administrator/Coo

Phone

(405) 446-0103

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Hospice certification: CCN 371737

Legal name

SIGNATURE HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Sep 12, 2023

Last certification

Aug 24, 2023

Organization structure

LLCProprietary

Incorporated

Oct 25, 2022 in OK

Enrollment address

2801 Parklawn Dr
Ste 401B
Midwest City, OK 73110-4231

Listed as

Signature Hospice LLCCCN 371737

Certified

Sep 12, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Robert C Dimski, M.D.

  • Family Medicine Physician
  • Midwest City, OK
  • NPI 1457343881

  W-2 Managing Employee

  CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Heritage Manor Management, LLC

  • Skilled Nursing Facility
  • Oklahoma City, OK
  • NPI 1679328728

  Empire Capital Investment, LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine McElwee

  • Social Worker
  • Newalla, OK
  • NPI 1720522451
  NPD

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Robert C Dimski, M.D.

  • Family Medicine Physician
  • Midwest City, OK
  • NPI 1457343881

  Hospice

  Care Compare affiliation
• Teney John, MD

  • Family Medicine Physician
  • Lawton, OK
  • NPI 1932429131

  Hospice

  Care Compare affiliation
• Muneer Ahmad Khan, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Oklahoma City, OK
  • NPI 1073504684

  Hospice

  Care Compare affiliation
• Senthil K Raju, M.D.

  • Hospitalist Physician
  • Oklahoma City, OK
  • NPI 1922009075

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675728000000",
    "number": "1487350724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 NE 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731411826",
            "telephone_number": "405-405-0103",
            "fax_number": "405-367-1333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8205 NE 23RD ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731411826",
            "telephone_number": "405-405-0103",
            "fax_number": "405-367-1333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "HARBOUR",
        "authorized_official_first_name": "MALANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR/COO",
        "authorized_official_telephone_number": "405-446-0103"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V Icente Cereaco Sigala, BHRS
• Kala Haiduk Sigler, M.D.
• Stacy Lyn Sigler, RDH
• Alixzandrea Lee Sigman
• Signature Dental, Inc
• Signature Transformation Counseling Service LLC
• Sih Oklahoma PC
• Meredith Leigh Siharath, OTR/L
• Kermun Sihota, M.D
• Nischea Sihota, MD

• Community Based Hospice Care Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Community Based Hospice Care Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.

Verify at the official NPI Registry.