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NPI Code Detail

MEDICARE: KLARUS HOME CARE LLC

MEDICARE: KLARUS HOME CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker17673TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154700623
Entity Type Code : Organization
Provider Name (Legal Business Name) : KLARUS HOME CARE LLC
Provider Business Mailing Address
First Line : 4100 INTERNATIONAL PLZ STE 750
Second Line :
City : FORT WORTH
State : TX
Zip : 76109-4800
Country : US
Telephone Number : 817-349-9050
Fax Number : 817-349-9055
Provider Business Practice Location Address
First Line : 6421 CAMP BOWIE BLVD STE 100
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-5419
Country : US
Telephone Number : 817-349-9050
Fax Number : 817-349-9055
Authorized Official
Title or Position : BILLING MANAGER
Name : DAWN MASON
Credential :
Telephone Number : 817-349-9050
Provider Enumeration Date : 05/29/2015
Last Update Date : 08/22/2019

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Directions to “KLARUS HOME CARE LLC ” Practice Location

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