Provider Demographics
NPI:1649810755
Name:OUR SYNCERE HEARTS LLC
Entity type:Organization
Organization Name:OUR SYNCERE HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ZENO
Authorized Official - Middle Name:
Authorized Official - Last Name:STAGGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-238-7970
Mailing Address - Street 1:5836 N MARSH BANK LN APT 203
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48346-3098
Mailing Address - Country:US
Mailing Address - Phone:248-383-5268
Mailing Address - Fax:
Practice Address - Street 1:5836 N MARSH BANK LN APT 203
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48346-3098
Practice Address - Country:US
Practice Address - Phone:248-383-5268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care