=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679367072
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KAZAR INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/09/2025
-----------------------------------------------------
Last Update Date | 04/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2300 W SAHARA AVE FL 8
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89102-4373
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-815-9012
-----------------------------------------------------
Fax | 702-988-5305
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2300 W SAHARA AVE FL 8
-----------------------------------------------------
City | LAS VEGAS
-----------------------------------------------------
State | NV
-----------------------------------------------------
Zip | 89102-4373
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 702-815-9012
-----------------------------------------------------
Fax | 702-988-5305
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | ADMINISTRATOR
-----------------------------------------------------
Name | VICTORIA OGANIAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 702-815-9012
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 385H00000X
-----------------------------------------------------
Taxonomy Name | Respite Care
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------