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NPI Code Detail

MEDICARE: SINCERE HEART HEALTHCARE INC

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 License Number License Number State
1376K00000XNurse's Aide
2132700000XDietary Manager
3163WC0400XCase Management Registered Nurse
4320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
5343900000XNon-emergency Medical Transport (VAN)
6363LP0808XPsychiatric/Mental Health Nurse Practitioner
7376G00000XNursing Home Administrator
8164W00000XLicensed Practical Nurse
9221700000XArt Therapist
10225100000XPhysical Therapist
11225A00000XMusic Therapist
12225X00000XOccupational Therapist
13163W00000XRegistered 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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