Organization
DARK KNIGHT TRUST
Active
Organization
DARK KNIGHT TRUST
Active
Other names
Dark Knight OSO Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THERON WARD (CFO/COO)
(702) 754-5701
Entity
Organization
Contact information
Practice address
840 S RANCHO DR, SUITE 4-410, LAS VEGAS, NV 89106-3837
(702) 754-5700
(702) 982-8762
Mailing address
840 S RANCHO DR, SUITE 4-410, LAS VEGAS, NV 89106-3837
(702) 754-5700
(702) 982-8762
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
NV20121035663
NV
246Y00000X
Health Information Specialist/Technologist
—
—
251B00000X
Case Management Agency
Primary
NV20121035663
NV
253Z00000X
In Home Supportive Care Agency
NV20121035663
NV
311Z00000X
Custodial Care Facility
NV20121035663
NV
343900000X
Non-emergency Medical Transport (VAN)
NV20121035663
NV
374U00000X
Home Health Aide
NV20121035663
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NV20121035663
STATE OF NEVADA
NV
Enumeration date
11/18/2013
Last updated
11/18/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up