Healthcare Provider Details

I. General information

NPI: 1982244372
Provider Name (Legal Business Name): SINCERE MANOR FAMILY CARE HOME
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2020
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

334 ZEB RD
GIBSONVILLE NC
27249-9507
US

IV. Provider business mailing address

334 ZEB RD
GIBSONVILLE NC
27249-9507
US

V. Phone/Fax

Practice location:
  • Phone: 336-347-0513
  • Fax:
Mailing address:
  • Phone: 336-347-0513
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CIERRA SINGLETERRY
Title or Position: ADMINISTRATOR
Credential:
Phone: 252-258-7259