MEDICARE: SIGNATURE HOME HEALTH LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1710821715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SIGNATURE HOME HEALTH LLC

Provider Business Mailing Address
First Line	:	17 MOONLIGHT TRAIL CT
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-6703
Country	:	US
Telephone Number	:	615-600-7981
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 MOONLIGHT TRAIL CT
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-6703
Country	:	US
Telephone Number	:	615-600-7981
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. KALEKIRSTOS HAILEMARIAM
Credential	:	MASTERS
Telephone Number	:	615-600-7981

Provider Enumeration Date	:	04/18/2026
Last Update Date	:	04/18/2026

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Directions to “SIGNATURE HOME HEALTH LLC ” Practice Location

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