=====================================================
General NPI Number Information
=====================================================
NPI Number | 1104150531
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SIGNATURE HOMECARE SERVICES, TEXAS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/02/2009
-----------------------------------------------------
Last Update Date | 09/03/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8300 CYPRESS CREEK PKWY STE 350
-----------------------------------------------------
City | HOUSTON
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77070-5699
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 832-237-5800
-----------------------------------------------------
Fax | 832-237-5810
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7820 GRAPHICS DR STE 201
-----------------------------------------------------
City | TINLEY PARK
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60477-6278
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-307-8048
-----------------------------------------------------
Fax | 773-685-9066
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUTHORIZED OFFICIAL
-----------------------------------------------------
Name | ABITURAB 'ABI' BOXWALLA
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 708-825-4060
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 10379
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------