Organization
SINCERE HEART HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUWANDA SMITH REGISTERED NURSE (CHIEF NURSING OFFICER/REGISTERED CM)
(513) 591-9302
Entity
Organization
Contact information
Practice address
4150 W PEORIA AVE STE 117, PHOENIX, AZ 85029-3950
(513) 591-9302
Mailing address
6912 S 30TH LN, PHOENIX, AZ 85041-9310
(513) 591-9302
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
163W00000X
Registered Nurse
Primary
—
—
163WC0400X
Case Management Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
221700000X
Art Therapist
—
—
225100000X
Physical Therapist
—
—
225A00000X
Music Therapist
—
—
225X00000X
Occupational Therapist
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
376G00000X
Nursing Home Administrator
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
03/14/2024
Last updated
12/24/2024
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