Healthcare Provider Details

I. General information

NPI: 1073277158
Provider Name (Legal Business Name): SINCERE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2021
Last Update Date: 10/26/2021
Certification Date: 10/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6404 FOURCHE DAM PIKE
LITTLE ROCK AR
72206-2745
US

IV. Provider business mailing address

6404 FOURCHE DAM PIKE
LITTLE ROCK AR
72206-2745
US

V. Phone/Fax

Practice location:
  • Phone: 501-256-9690
  • Fax:
Mailing address:
  • Phone: 501-256-9690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747A0650X
TaxonomyAttendant Care Provider
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MR. KENNETH D PAGE
Title or Position: OWNER
Credential:
Phone: 501-256-9690