NPIMap

Organization Active NPI

Dark Knight Trust

  • Case Management Agency
  • Las Vegas, NV
National Provider Identifier
1003246612
Registry record updated Nov 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
NV20121035663 Issued in NV
Legal business name
DARK KNIGHT TRUST
Practice address
840 S Rancho Dr
Suite 4-410
Las Vegas, NV 89106-3837
Phone
(702) 754-5700
Fax
(702) 982-8762
NPI assigned
Nov 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2013

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

Authorized official

Name
Mr. Theron Ward
Title
Cfo/Coo
Phone
(702) 754-5701

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X NV20121035663 NV
Health Information Specialist/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246Y00000X
Case Management Agency 251B00000X NV20121035663 NV Primary
In Home Supportive Care Agency 253Z00000X NV20121035663 NV
Custodial Care Facility 311Z00000X NV20121035663 NV
Non-emergency Medical Transport (VAN) 343900000X NV20121035663 NV
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X NV20121035663 NV

Addresses

Primary practice location

840 S Rancho Dr
Suite 4-410
Las Vegas, NV 89106-3837

Mailing address

840 S Rancho Dr
Suite 4-410
Las Vegas, NV 89106-3837
Phone (702) 754-5700

Other identifiers 1

IdentifierTypeStateIssuer
NV20121035663OtherNVSTATE OF NEVADA

Other names 1

  • Dark Knight OSO Inc Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1003246612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR",
            "address_2": "SUITE 4-410",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-754-5700",
            "fax_number": "702-982-8762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 S RANCHO DR",
            "address_2": "SUITE 4-410",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891063837",
            "telephone_number": "702-754-5700",
            "fax_number": "702-982-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARK KNIGHT TRUST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-18",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "THERON",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "702-754-5701",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": "NV",
            "license": "NV20121035663",
            "primary": false
        },
        {
            "code": "246Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Health Information",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NV",
            "license": "NV20121035663",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "NV20121035663",
            "primary": false
        },
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NV",
            "license": "NV20121035663",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NV",
            "license": "NV20121035663",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "NV",
            "license": "NV20121035663",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA",
            "identifier": "NV20121035663",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dark Knight OSO Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; 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.