| Sincere Home Care Llc. | |
|
5911 Holmes Ct Jackson MS 39213 | |
| (601) 321-9653 | |
| (769) 233-8094 |
| Full Name | Sincere Home Care Llc. |
|---|---|
| Speciality | Registered Nurse |
| Location | 5911 Holmes Ct, Jackson, Mississippi |
| Authorized Official Name and Position | Deborah Diane Wright (QWNER) |
| Authorized Official Contact | 6018629706 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sincere Home Care Llc. 5911 Holmes Ct Jackson MS 39213-9784 Ph: (601) 321-9653 | Sincere Home Care Llc. 5911 Holmes Ct Jackson MS 39213 Ph: (601) 321-9653 |
| NPI Number | 1740697275 |
|---|---|
| Provider Enumeration Date | 07/16/2014 |
| Last Update Date | 11/19/2014 |
| Medicare PECOS PAC ID | 2769709666 |
|---|---|
| Medicare Enrollment ID | O20150401002137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740697275 | NPI | - | NPPES |
| Provider Name | Maxie Lerone Gordon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427018613 PECOS PAC ID: 2466406798 Enrollment ID: I20050309000456 |
| Provider Name | Nokita T Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073763967 PECOS PAC ID: 6002137940 Enrollment ID: I20150604000871 |
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