Healthcare Provider Details

I. General information

NPI: 1609383215
Provider Name (Legal Business Name): SIGNAL HEALTH GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/04/2018
Last Update Date: 03/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 S TILLOTSON AVE
MUNCIE IN
47304-4449
US

IV. Provider business mailing address

PO BOX 17460
INDIANAPOLIS IN
46217-0460
US

V. Phone/Fax

Practice location:
  • Phone: 800-260-6145
  • Fax: 888-681-9011
Mailing address:
  • Phone: 800-260-6145
  • Fax: 888-681-9011

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: HAHN MARCH
Title or Position: CEO
Credential:
Phone: 765-238-1381