Bold Healthcare Innovations Management

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

BOLD HEALTHCARE INNOVATIONS MANAGEMENT

Practice address

6505 Melwood St Apt 2323
Fort Worth, TX 76112-1791

Phone

(214) 250-0315

NPI assigned

Apr 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Sean Bolden

Title

Owner

Phone

(214) 250-0315

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431475200000",
    "number": "1073900049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6505 MELWOOD ST APT 2323",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121791",
            "telephone_number": "214-250-0315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6505 MELWOOD ST APT 2323",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761121791",
            "telephone_number": "214-250-0315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOLD HEALTHCARE INNOVATIONS MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2015-05-13",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-250-0315",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Anne Bohl
• Erica Bohmer, MD
• Leah Marie Bohnert, OD
• James R Bohnsack, M.D.
• Hema Pandya Bohra, D.O.
• Jill Boldt
• Prafull Bole, M.D.
• Matthew Boles, DO
• Susan E Boles, LPC
• Nicole Bramlett Bolf, WHNP

• In Home Supportive Care Agency in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.