Organization Active NPI

Signature Care LLC

  • Home Health Agency
  • Port Orange, FL
National Provider Identifier
1508249525
Registry record updated Jul 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIGNATURE CARE LLC
Practice address
204 Cessna Blvd
Port Orange, FL 32128-7270
Phone
(386) 236-8800
NPI assigned
Jul 8, 2015
Last updated
Jul 8, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2015

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

Authorized official

Name
Philip Mertens
Title
President
Phone
(386) 243-0523

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

204 Cessna Blvd
Port Orange, FL 32128-7270

Mailing address

1713 Baron CT
Port Orange, FL 32128-6789

National Provider Directory

National Provider Directory

Locations

204 Cessna Blvd
Port Orange, FL 32128
Phone (386) 236-8800

NPI Registry JSON

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

{
    "created_epoch": "1436313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436313600000",
    "number": "1508249525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 BARON CT",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321286789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CESSNA BLVD",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321287270",
            "telephone_number": "386-236-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-08",
        "last_updated": "2015-07-08",
        "status": "A",
        "authorized_official_last_name": "MERTENS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-243-0523"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; 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.