Provider Demographics
NPI:1477808855
Name:SINCERITY HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:SINCERITY HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-350-9707
Mailing Address - Street 1:6820 N EXPRESSWAY 77/83 STE A
Mailing Address - Street 2:
Mailing Address - City:BROWNSVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78526-3200
Mailing Address - Country:US
Mailing Address - Phone:956-350-9707
Mailing Address - Fax:956-350-0667
Practice Address - Street 1:6820 N EXPRESSWAY 77/83 STE A
Practice Address - Street 2:
Practice Address - City:BROWNSVILLE
Practice Address - State:TX
Practice Address - Zip Code:78526-3200
Practice Address - Country:US
Practice Address - Phone:956-350-9707
Practice Address - Fax:956-350-0667
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2019-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX015115251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX33562201Medicaid
TX33562202Medicaid