Provider Demographics
NPI:1639837933
Name:MASTERCARE HOMECARE INC
Entity Type:Organization
Organization Name:MASTERCARE HOMECARE INC
Other - Org Name:MASTERCARE HOMECARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANWAR
Authorized Official - Middle Name:
Authorized Official - Last Name:KAZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-330-2130
Mailing Address - Street 1:7920 BELT LINE RD STE 720
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8181
Mailing Address - Country:US
Mailing Address - Phone:972-777-4345
Mailing Address - Fax:469-930-6430
Practice Address - Street 1:7920 BELT LINE RD STE 720
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-8181
Practice Address - Country:US
Practice Address - Phone:972-777-4345
Practice Address - Fax:469-930-6430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-03
Last Update Date:2023-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX022448OtherTEXAS HEALTH & HUMAN SERVICES