Organization Active NPI

Signature Home Health Care Inc

  • Home Health Agency
  • Beverly Hills, CA
National Provider Identifier
1790912871
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIGNATURE HOME HEALTH CARE INC
Practice address
9595 Wilshire Blvd Ste 205
Beverly Hills, CA 90212-2502
Phone
(310) 278-0104
Fax
(310) 278-0107
NPI assigned
Jun 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Miss Faina Neveleva
Title
President
Phone
(310) 278-0102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

9595 Wilshire Blvd Ste 205
Beverly Hills, CA 90212-2502

Mailing address

9025 Wilshire Blvd Ste 205
Beverly Hills, CA 90211-1825
Phone (310) 278-0104

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090806000451 CA Part A Provider - Home Health Agency 4880747922 Practice locations: Beverly Hills, CA

Home health agency certification: CCN 059399

Legal name
SIGNATURE HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 21, 2012
Last certification
Feb 24, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 12, 2009 in CA
Enrollment address
9595 Wilshire Blvd
Ste 205
Beverly Hills, CA 90212-2502

Care Compare: Home health agency

Medicare Care Compare
Listed as
Signature Home Health Care, IncCCN 059399 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 21, 2012
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

9025 Wilshire Blvd
Ste 205
Beverly Hills, CA 90211
Phone (310) 278-0104

9595 Wilshire Blvd
Ste 205
Beverly Hills, CA 90212
Phone (310) 278-0104

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Faina Neveleva Individual 5% Or Greater Direct Ownership InterestAdministrator Jul 20, 2009 100%
Corporate OfficerPresident Jul 20, 2009 100%
Corporate DirectorAdministrator Jul 20, 2009 100%
W-2 Managing EmployeeAdministrator Jul 20, 2009 100%
Svetlana Dolzhanskaya Individual W-2 Managing EmployeeDirector of Patient Care Services Oct 1, 2015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1790912871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9025 WILSHIRE BLVD STE 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902111825",
            "telephone_number": "310-278-0104",
            "fax_number": "310-278-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9595 WILSHIRE BLVD STE 205",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122502",
            "telephone_number": "310-278-0104",
            "fax_number": "310-278-0107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "NEVELEVA",
        "authorized_official_first_name": "FAINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-278-0102",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

Verify at the official NPI Registry.