Signature Management

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

S0214 Issued in IA

Legal business name

SIGNATURE MANAGEMENT

Doing business as

Petersen Commons Marycrest Housing

Practice address

1607 W 12TH St
Davenport, IA 52804-4086

Phone

(563) 323-3888

Fax

(563) 324-1373

NPI assigned

Dec 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Catherine Louise Fier, R.N.

Title

Director of Assisted Living

Phone

(563) 322-2718

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Petersen Commons Marycrest Housing Doing business as

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669532883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 N HARRISON ST",
            "address_2": "SUITE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011309",
            "telephone_number": "563-322-2718",
            "fax_number": "563-322-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1607 W 12TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528044086",
            "telephone_number": "563-323-3888",
            "fax_number": "563-324-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FIER",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "DIRECTOR OF ASSISTED LIVING",
        "authorized_official_telephone_number": "563-322-2718",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "IA",
            "license": "S0214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0463604",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petersen Commons Marycrest Housing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gursukhman Deep Singh Sidhu, MD
• Caroline Sidlinger, DNP
• Alex Gordon Sieg, MD
• Laura Elizabeth Sierra, CNM
• Anna Carla Rae Viola Sievert, ARNP
• Danielle Rene Sikes, BS, RBT
• Steven L. Silverman, D.C.
• Dawn Silvers, LPN
• Brandy L Simmons, PT
• Janice D Simmons, ARNP

• Assisted Living Facility in Davenport, IA
• Providers in Davenport, IA by specialty
• Assisted Living Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.