MEDICARE: SIGNATURE CARE SOLUTIONS AGENCY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QD1600X	Developmental Disabilities Clinic/Center
2	385H00000X	Respite Care
3	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1356204838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNATURE CARE SOLUTIONS AGENCY LLC

Provider Business Mailing Address
First Line	:	35104 EUCLID AVE STE 302
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-4566
Country	:	US
Telephone Number	:	888-604-1319
Fax Number	:

Provider Business Practice Location Address
First Line	:	35104 EUCLID AVE STE 302
Second Line	:
City	:	WILLOUGHBY
State	:	OH
Zip	:	44094-4566
Country	:	US
Telephone Number	:	888-604-1319
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TIERRA GREEN
Credential	:
Telephone Number	:	888-604-1319

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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