Organization Active NPI

Signature Care Provider LLC

  • In Home Supportive Care Agency
  • Tarzana, CA
National Provider Identifier
1639800378
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Mar 14, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL securerecord.scp.html Direct

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.