Healthcare Provider Details

I. General information

NPI: 1063877223
Provider Name (Legal Business Name): SINCERITY HOMES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2015
Last Update Date: 12/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2910 DE FOREST AVE
LONG BEACH CA
90806-1405
US

IV. Provider business mailing address

4175 LAKESIDE DR SUITE 130
RICHMOND CA
94806-5774
US

V. Phone/Fax

Practice location:
  • Phone: 510-717-7492
  • Fax: 510-724-1023
Mailing address:
  • Phone: 510-717-7492
  • Fax: 510-724-1023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DIGNA B ESPEJO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 510-717-7492