Provider Demographics
NPI:1235218041
Name:SINCERE CARE MEDICAL NURSING AGENCY
Entity Type:Organization
Organization Name:SINCERE CARE MEDICAL NURSING AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HECKARD VANERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:706-507-0473
Mailing Address - Street 1:2210 WYNNTON RD
Mailing Address - Street 2:SUITE 128C
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31906-5800
Mailing Address - Country:US
Mailing Address - Phone:706-507-0473
Mailing Address - Fax:
Practice Address - Street 1:2210 WYNNTON RD
Practice Address - Street 2:SUITE 128C
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31906-5800
Practice Address - Country:US
Practice Address - Phone:706-507-0473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6844001251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health