Healthcare Provider Details

I. General information

NPI: 1831412741
Provider Name (Legal Business Name): KLARUS HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2010
Last Update Date: 03/09/2021
Certification Date: 03/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6743 ACADEMY RD NE STE B
ALBUQUERQUE NM
87109-3372
US

IV. Provider business mailing address

6743 ACADEMY RD NE STE B
ALBUQUERQUE NM
87109-3372
US

V. Phone/Fax

Practice location:
  • Phone: 505-717-1624
  • Fax:
Mailing address:
  • Phone: 505-717-1624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STACIE D BRATCHER
Title or Position: CEO
Credential:
Phone: 817-349-9050