Provider Demographics
NPI:1902534993
Name:C SINCERE HOMEHEALTH & CONCIERGE LLC
Entity Type:Organization
Organization Name:C SINCERE HOMEHEALTH & CONCIERGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:WANDA
Authorized Official - Middle Name:DEBORAH
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-274-6237
Mailing Address - Street 1:121 N MAIN ST STE 105
Mailing Address - Street 2:
Mailing Address - City:SOUDERTON
Mailing Address - State:PA
Mailing Address - Zip Code:18964-1755
Mailing Address - Country:US
Mailing Address - Phone:833-274-6237
Mailing Address - Fax:267-203-8311
Practice Address - Street 1:121 N MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:SOUDERTON
Practice Address - State:PA
Practice Address - Zip Code:18964-1755
Practice Address - Country:US
Practice Address - Phone:833-274-6237
Practice Address - Fax:267-203-8311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-09
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA104028728-001Medicaid