Provider Demographics
NPI:1134747728
Name:SINCERE HEALTH CASE MANAGEMENT LLC
Entity type:Organization
Organization Name:SINCERE HEALTH CASE MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CASE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LAKEASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH IBHAFIDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-779-7210
Mailing Address - Street 1:4775 LONGVIEW RUN
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30035-6007
Mailing Address - Country:US
Mailing Address - Phone:470-227-8087
Mailing Address - Fax:
Practice Address - Street 1:4775 LONGVIEW RUN
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30035-6007
Practice Address - Country:US
Practice Address - Phone:470-227-8087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2020-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty