Organization Active NPI

Klarus Home Care LLC

  • Clinical Social Worker
  • Fort Worth, TX
National Provider Identifier
1154700623
Registry record updated Aug 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17673 Issued in TX
Legal business name
KLARUS HOME CARE LLC
Practice address
6421 Camp Bowie Blvd Ste 100
Fort Worth, TX 76116-5419
Phone
(817) 349-9050
Fax
(817) 349-9055
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2019

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

Authorized official

Name
Dawn Mason
Title
Billing Manager
Phone
(817) 349-9050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 17673 TX Primary

Addresses

Primary practice location

6421 Camp Bowie Blvd Ste 100
Fort Worth, TX 76116-5419

Mailing address

4100 International PLZ Ste 750
Fort Worth, TX 76109-4800
Phone (817) 349-9050

Other identifiers 1

IdentifierTypeStateIssuer
3251340MedicaidTX

Other names 1

  • The Klarus Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Klarus Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566432000000",
    "number": "1154700623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 INTERNATIONAL PLZ STE 750",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094800",
            "telephone_number": "817-349-9050",
            "fax_number": "817-349-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 CAMP BOWIE BLVD STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165419",
            "telephone_number": "817-349-9050",
            "fax_number": "817-349-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLARUS HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2019-08-22",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "817-349-9050"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "17673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3251340",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Klarus Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Klarus Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.