MEDICARE: SINCERE HEART HEALTHCARE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	376K00000X	Nurse's Aide
2	132700000X	Dietary Manager
3	163WC0400X	Case Management Registered Nurse
4	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5	343900000X	Non-emergency Medical Transport (VAN)
6	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
7	376G00000X	Nursing Home Administrator
8	164W00000X	Licensed Practical Nurse
9	221700000X	Art Therapist
10	225100000X	Physical Therapist
11	225A00000X	Music Therapist
12	225X00000X	Occupational Therapist
13	163W00000X	Registered Nurse

General Provider Information

NPI Number	:	1871352609
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SINCERE HEART HEALTHCARE INC

Provider Business Mailing Address
First Line	:	6912 S 30TH LN
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85041-9310
Country	:	US
Telephone Number	:	513-591-9302
Fax Number	:

Provider Business Practice Location Address
First Line	:	4150 W PEORIA AVE STE 117
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85029-3950
Country	:	US
Telephone Number	:	513-591-9302
Fax Number	:

Authorized Official
Title or Position	:	CHIEF NURSING OFFICER/REGISTERED CM
Name	:	JUWANDA SMITH
Credential	:	REGISTERED NURSE
Telephone Number	:	513-591-9302

Provider Enumeration Date	:	03/14/2024
Last Update Date	:	12/24/2024

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Directions to “SINCERE HEART HEALTHCARE INC ” Practice Location

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