Organization Active NPI

Signature Healthcare, Inc.

  • Home Health Agency
  • Los Angeles, CA
National Provider Identifier
1992272819
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SIGNATURE HEALTHCARE, INC.
Practice address
1770 N Highland Ave Ste G
Los Angeles, CA 90028-4430
Phone
(424) 352-2926
NPI assigned
Oct 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Asatur Akopovich Kosoyan
Title
Ceo
Phone
(424) 352-2926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1770 N Highland Ave Ste G
Los Angeles, CA 90028-4430

Mailing address

1770 N Highland Ave Ste G
Los Angeles, CA 90028-4430
Phone (424) 352-2926

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190308002680 CA Part A Provider - Home Health Agency 5496094476 Practice locations: Los Angeles, CA

Home health agency certification: CCN 559189

Legal name
SIGNATURE HEALTHCARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jan 31, 2020
Last certification
Jan 31, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 4, 2018 in CA
Enrollment address
1770 N Highland Ave
Ste G
Los Angeles, CA 90028-4430
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Signature Healthcare, IncCCN 559189
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 31, 2020
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

1770 N Highland Ave
Ste G
Los Angeles, CA 90028
Phone (424) 352-2926

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
Asatur a Kosoyan Individual 5% Or Greater Direct Ownership Interest Oct 4, 2018 100%
Corporate OfficerCeo/President Oct 4, 2018 100%
Corporate DirectorCeo/President Oct 4, 2018 100%
W-2 Managing EmployeeCeo/President Oct 4, 2018 100%
Armen Titizyan Individual W-2 Managing EmployeeOffice Manager Oct 4, 2018

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1540771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1992272819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 N HIGHLAND AVE STE G",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900284430",
            "telephone_number": "424-352-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N HIGHLAND AVE STE G",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900284430",
            "telephone_number": "424-352-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-29",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "KOSOYAN",
        "authorized_official_first_name": "ASATUR",
        "authorized_official_middle_name": "AKOPOVICH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "424-352-2926"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.