MEDICARE: SINCERITY HOMES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility

General Provider Information

NPI Number	:	1063877223
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINCERITY HOMES, LLC

Provider Business Mailing Address
First Line	:	4175 LAKESIDE DR
Second Line	:	SUITE 130
City	:	RICHMOND
State	:	CA
Zip	:	94806-5774
Country	:	US
Telephone Number	:	510-717-7492
Fax Number	:	510-724-1023

Provider Business Practice Location Address
First Line	:	2910 DE FOREST AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1405
Country	:	US
Telephone Number	:	510-717-7492
Fax Number	:	510-724-1023

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	DIGNA B ESPEJO
Credential	:
Telephone Number	:	510-717-7492

Provider Enumeration Date	:	12/15/2015
Last Update Date	:	12/15/2015

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