Provider Demographics
NPI:1861818643
Name:D KLAN, INC.
Entity Type:Organization
Organization Name:D KLAN, INC.
Other - Org Name:CLINICIANS HOME HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SERGE
Authorized Official - Middle Name:
Authorized Official - Last Name:RAFES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-844-6288
Mailing Address - Street 1:2770 S MARYLAND PKWY STE 212
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-1565
Mailing Address - Country:US
Mailing Address - Phone:702-844-6288
Mailing Address - Fax:702-825-8984
Practice Address - Street 1:2770 S MARYLAND PKWY STE 212
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-1565
Practice Address - Country:US
Practice Address - Phone:702-844-6288
Practice Address - Fax:702-825-8984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-17
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNVS7508HHA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health