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General NPI Number Information
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NPI Number | 1104125269
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Entity Type | Organization
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Legal Business Name | SINCERE HOME HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 03/15/2011
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 19785 W 12 MILE RD SUITE 203
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2584
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Country | US
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Telephone | 248-730-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 19785 W 12 MILE RD SUITE 203
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City | SOUTHFIELD
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State | MI
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Zip | 48076-2584
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Country | US
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Telephone | 248-730-5005
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Fax |
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Authorized Official
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Title or Position | OWNER & OPERATOR
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Name | MRS. HELEN SMITH
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Credential | R.N.
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Telephone | 248-730-5005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 4704202809
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License Number State | MI
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