Organization
SIGNATURE PROVIDER SERVICES LLC
Active
Parent organization
SIGNATURE HEALTHCARE LLC
Other names
HomeNow Medical Supplies
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIGNATURE HEALTHCARE LLC
Authorized official
MR. JOHN HARRISON (CFO)
(502) 568-7338
Entity
Organization
Contact information
Practice address
9815 BROWNSBORO RD, SUITE #102, LOUISVILLE, KY 40241-1125
(502) 568-7800
(502) 568-7150
Mailing address
9815 BROWNSBORO RD, SUITE #102, LOUISVILLE, KY 40241-1125
(502) 568-7338
(502) 568-7954
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
69001112A
IN
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
KY
332BN1400X
Nursing Facility Supplies (DME)
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100227900
—
KY
Enumeration date
12/19/2007
Last updated
08/03/2016
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