Healthcare Provider Details

I. General information

NPI: 1912345588
Provider Name (Legal Business Name): SINCERE HEARTS ADULT DAY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2013
Last Update Date: 06/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1443 E 84TH PL
MERRILLVILLE IN
46410-6451
US

IV. Provider business mailing address

1443 E 84TH PL
MERRILLVILLE IN
46410-6451
US

V. Phone/Fax

Practice location:
  • Phone: 248-686-4926
  • Fax: 248-557-4420
Mailing address:
  • Phone: 248-686-4926
  • Fax: 248-557-4420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: MRS. NELISSA NASH
Title or Position: OWNER
Credential:
Phone: 248-686-4926