Healthcare Provider Details

I. General information

NPI: 1679367072
Provider Name (Legal Business Name): KAZAR INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2025
Last Update Date: 04/09/2025
Certification Date: 04/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 W SAHARA AVE FL 8
LAS VEGAS NV
89102-4373
US

IV. Provider business mailing address

2300 W SAHARA AVE FL 8
LAS VEGAS NV
89102-4373
US

V. Phone/Fax

Practice location:
  • Phone: 702-815-9012
  • Fax: 702-988-5305
Mailing address:
  • Phone: 702-815-9012
  • Fax: 702-988-5305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA OGANIAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 702-815-9012