Healthcare Provider Details

I. General information

NPI: 1740135961
Provider Name (Legal Business Name): SIGNATURECARE HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1481 WARRENSVILLE CENTER RD UPPR 1
SOUTH EUCLID OH
44121-2685
US

IV. Provider business mailing address

1481 WARRENSVILLE CENTER RD UPPR 1
SOUTH EUCLID OH
44121-2685
US

V. Phone/Fax

Practice location:
  • Phone: 216-417-4444
  • Fax: 216-417-4444
Mailing address:
  • Phone: 216-417-4444
  • Fax: 216-417-4444

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KELLE N SMITH-POUGE
Title or Position: OWNER
Credential:
Phone: 216-417-4444