Healthcare Provider Details

I. General information

NPI: 1083532113
Provider Name (Legal Business Name): SIGNATURE-PLUS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12850 MIDDLEBROOK RD STE 304
GERMANTOWN MD
20874-5244
US

IV. Provider business mailing address

12850 MIDDLEBROOK RD STE 304
GERMANTOWN MD
20874-5244
US

V. Phone/Fax

Practice location:
  • Phone: 301-368-3600
  • Fax: 301-368-3601
Mailing address:
  • Phone: 301-368-3600
  • Fax: 301-368-3601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care 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: JANE KIPCHIRCHIR
Title or Position: DIRECTOR OF NURSING/DN
Credential:
Phone: 410-919-7525