Organization Active NPI

Signature Care, Inc.

  • Home Health Agency
  • Reynoldsburg, OH
National Provider Identifier
1518901065
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
251E00000X Issued in OH
Legal business name
SIGNATURE CARE, INC.
Practice address
7678 Slate Ridge Blvd
Reynoldsburg, OH 43068-8160
Phone
(614) 751-9901
Fax
(601) 751-9902
NPI assigned
Jun 15, 2006
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Elina Kahana, RN
Title
Administration
Phone
(614) 751-9901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 251E00000X OH Primary

Addresses

Primary practice location

7678 Slate Ridge Blvd
Reynoldsburg, OH 43068-8160

Mailing address

7594 Slate Ridge Blvd
Reynoldsburg, OH 43068-8156

Other identifiers 1

IdentifierTypeStateIssuer
2616888MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050511000562 OH Part A Provider - Home Health Agency 0941240733 Practice locations: Reynoldsburg,, OH

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518901065. Details of each certification follow.

Home health agency certification: CCN 368121

Legal name
SIGNATURE CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 26, 2005
Last certification
Feb 25, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 4, 2005 in OH
Enrollment address
7678 Slate Ridge Blvd.
Reynoldsburg,, OH 43068-8156

Care Compare: Home health agency

Medicare Care Compare
Listed as
Signature Care, IncCCN 368121 · All quality measures
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Oct 26, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1046384Signature Care Inc7678 Slate Ridge Blvd, Reynoldsburg, OH 43068Certificate of waiverOct 5, 2027

National Provider Directory

National Provider Directory

Locations

7596 Slate Ridge Blvd
Reynoldsburg, OH 43068
Phone (617) 751-9901

7678 Slate Ridge Blvd
Reynoldsburg, OH 43068
Phone (614) 751-9901

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Boris Lantsman Individual W-2 Managing Employee Feb 4, 2005
Larisa Lantsman Individual 5% Or Greater Direct Ownership Interest Feb 4, 2005
Sergey Kahana Individual 5% Or Greater Direct Ownership Interest Feb 4, 2005

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1518901065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7594 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7678 SLATE RIDGE BLVD",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688160",
            "telephone_number": "614-751-9901",
            "fax_number": "601-751-9902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-15",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "KAHANA",
        "authorized_official_first_name": "ELINA",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "614-751-9901",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2616888",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.