Active NPI
Signature Care Provider LLC
- In Home Supportive Care Agency
- Tarzana, CA
National Provider Identifier
1639800378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- SIGNATURE CARE PROVIDER LLC
- Practice address
- 18401 Burbank Blvd Ste 220
Tarzana, CA 91356-6619 - Phone
- (440) 752-4538
- NPI assigned
- Jun 22, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laba Busnawi
- Title
- Ceo/Owner
- Phone
- (440) 752-4538
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
18401 Burbank Blvd Ste 220
Tarzana, CA 91356-6619
Mailing address
18401 Burbank Blvd Ste 220
Tarzana, CA 91356-6619
Phone (440) 752-4538
Other names 1
- Home Helpers Home Care of North Calabasas
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | securerecord.scp.html | Direct |
National Provider Directory
National Provider DirectoryLocations
18401 Burbank Blvd
Ste 220
Tarzana, CA 91356
Phone (440) 752-4538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655856000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678752000000",
"number": "1639800378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18401 BURBANK BLVD STE 220",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566619",
"telephone_number": "440-752-4538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18401 BURBANK BLVD STE 220",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566619",
"telephone_number": "440-752-4538"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIGNATURE CARE PROVIDER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-06-22",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A",
"authorized_official_last_name": "BUSNAWI",
"authorized_official_first_name": "LABA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "440-752-4538"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecord.scp.html",
"affiliation": "N",
"endpointDescription": "securerecord",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "18401 Burbank Blvd Ste 220",
"city": "Tarzana",
"state": "CA",
"country_code": "US",
"postal_code": "913566619",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Home Helpers Home Care of North Calabasas",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.