Provider Demographics
NPI:1043513260
Name:SINCERE HOME CARE
Entity type:Organization
Organization Name:SINCERE HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAMICA
Authorized Official - Middle Name:STACEY
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-981-9635
Mailing Address - Street 1:254 WOODHILL DR APT B
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061-6722
Mailing Address - Country:US
Mailing Address - Phone:410-981-9835
Mailing Address - Fax:
Practice Address - Street 1:254 WOODHILL DR APT B
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6722
Practice Address - Country:US
Practice Address - Phone:410-981-9835
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13324579251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health