MEDICARE: SINCERE HOME

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	320800000X	Mental Illness Community Based Residential Treatment Facility

General Provider Information

NPI Number	:	1649994849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINCERE HOME

Provider Business Mailing Address
First Line	:	7364 READING RD # 322
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3451
Country	:	US
Telephone Number	:	513-748-4156
Fax Number	:

Provider Business Practice Location Address
First Line	:	3724 APPLEGATE AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45211-5402
Country	:	US
Telephone Number	:	513-909-4843
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SHAUNA HARRINGTON
Credential	:
Telephone Number	:	513-748-4156

Provider Enumeration Date	:	09/30/2022
Last Update Date	:	09/30/2022

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Directions to “SINCERE HOME ” Practice Location

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