Signature Health Services of Mansfield, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

2535448 Issued in OH

Legal business name

SIGNATURE HEALTH SERVICES OF MANSFIELD, LLC

Practice address

2830 Copley Rd
Suite 5
Copley, OH 44321-2142

Phone

(330) 666-3810

NPI assigned

Apr 24, 2008

Organization subpart

Yes

Parent organization

SIGNATURE HEALTH SERVICESAs reported in NPPES

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

Authorized official

Name

Mr. Jack D Goldsberry

Title

Coo

Phone

(330) 666-3810

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Signature Health Services LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Signature Health Services, LLC

  • Home Health Agency
  • Gahanna, OH
  • NPI 1386634608
  NPPES parent name

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

{
    "created_epoch": "1208995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1821263476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 LEXINGTON AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449072250",
            "telephone_number": "419-589-5921",
            "fax_number": "419-589-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 COPLEY RD",
            "address_2": "SUITE 5",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443212142",
            "telephone_number": "330-666-3810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HEALTH SERVICES OF MANSFIELD, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIGNATURE HEALTH SERVICES",
        "enumeration_date": "2008-04-24",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "GOLDSBERRY",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "330-666-3810",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OH",
            "license": "2535448",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2535448",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Michael Sexton, COTA
• Susan Marie Shannon, RN
• Lakeisha Sherille Shepherd, APRN- FNP-BC
• Signal Tree Home Health
• Signal Tree Medical Supplies
• Mary Singletary
• Robert Franklin Sisemore, CDCA, CPRS
• Skilled Home Health Agency LLC.
• Sleep Well Ohio LLC
• Myhlon Smith-Johnson

• Home Health Agency in Copley, OH
• Providers in Copley, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.