Healthcare Provider Details

I. General information

NPI: 1447178843
Provider Name (Legal Business Name): SINCERE CARE SHAKOPEE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1737 RIVERSIDE DR
SHAKOPEE MN
55379-0080
US

IV. Provider business mailing address

1737 RIVERSIDE DR
SHAKOPEE MN
55379-0080
US

V. Phone/Fax

Practice location:
  • Phone: 612-735-4509
  • Fax:
Mailing address:
  • Phone: 612-735-4509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: NAIMA MOHAMED
Title or Position: DIRECTOR
Credential:
Phone: 612-735-4509