Provider Demographics
NPI:1831414580
Name:RW BOSS HEALTH MASTERS HOMECARE INC
Entity type:Organization
Organization Name:RW BOSS HEALTH MASTERS HOMECARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AND CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-927-9550
Mailing Address - Street 1:1100 CIRCLE DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76119-8111
Mailing Address - Country:US
Mailing Address - Phone:817-927-9550
Mailing Address - Fax:817-927-9558
Practice Address - Street 1:1100 CIRCLE DR
Practice Address - Street 2:SUITE 200
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76119-8111
Practice Address - Country:US
Practice Address - Phone:817-927-9550
Practice Address - Fax:817-927-9558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-06
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012897251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health