Provider Demographics
NPI:1629365515
Name:FWT HEALTHCARE AND PROFESSIONAL SERVICES, LLC
Entity Type:Organization
Organization Name:FWT HEALTHCARE AND PROFESSIONAL SERVICES, LLC
Other - Org Name:CARE AMERICA HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:702-560-0743
Mailing Address - Street 1:340 E WARM SPRINGS RD
Mailing Address - Street 2:SUITE15B
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-4257
Mailing Address - Country:US
Mailing Address - Phone:702-560-0743
Mailing Address - Fax:206-339-7957
Practice Address - Street 1:340 E WARM SPRINGS RD
Practice Address - Street 2:SUITE15B
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-4257
Practice Address - Country:US
Practice Address - Phone:702-560-0743
Practice Address - Fax:206-339-7957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health