SIGNATURE HEALTH INC. NPI 1679767289

NPI Information

NPI: 1679767289
Provider Name: SIGNATURE HEALTH, INC.

Former Legal Business Name: NORTH COAST STUDENT ASSISTANCE, CORP.

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5410 TRANSPORTATION BLVD
UNIT 4
GARFIELD HEIGHTS, OH
ZIP 44125
Phone: (216) 663-6100
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SIGNATURE HEALTH, INC. is a mental health counselor in Garfield Heights, OH. SIGNATURE HEALTH, INC. NPI is 1679767289. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is North Coast Student Assistance, Corp..

The provider's business location address is:

5410 TRANSPORTATION BLVD
UNIT 4
GARFIELD HEIGHTS, OH
ZIP 44125-380
Phone: (216) 663-6100
Fax: (216) 663-7113

The provider's authorized official is Jonathan Albert Lee .
The authorized official title is Ceo and has the following contact phone number (440) 953-9999.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 10/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	467	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9321321	MEDICARE PIN	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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