Provider Demographics
NPI:1124379219
Name:CLEBURNE KLARUS LLC.
Entity Type:Organization
Organization Name:CLEBURNE KLARUS LLC.
Other - Org Name:KLARUS HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STACIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRATCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-349-9050
Mailing Address - Street 1:4100 INTERNATIONAL PLAZA, SUITE 750
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76109-4800
Mailing Address - Country:US
Mailing Address - Phone:817-349-9050
Mailing Address - Fax:817-349-9055
Practice Address - Street 1:4100 INTERNATIONAL PLAZA, SUITE 750
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76109-4800
Practice Address - Country:US
Practice Address - Phone:817-349-9050
Practice Address - Fax:817-349-9055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health