MEDICARE: SINCERE CLIENT CARE SERVICE

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	:	1396928511
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINCERE CLIENT CARE SERVICE

Provider Business Mailing Address
First Line	:	3321 YOUREE DR
Second Line	:	SUITE J
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2123
Country	:	US
Telephone Number	:	318-865-2311
Fax Number	:	318-865-2312

Provider Business Practice Location Address
First Line	:	3321 YOUREE DR
Second Line	:	SUITE J
City	:	SHREVEPORT
State	:	LA
Zip	:	71105-2123
Country	:	US
Telephone Number	:	318-865-2311
Fax Number	:	318-865-2312

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ANDREA BAXTER
Credential	:
Telephone Number	:	318-865-2311

Provider Enumeration Date	:	12/11/2007
Last Update Date	:	12/11/2007

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Directions to “SINCERE CLIENT CARE SERVICE ” Practice Location

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