Provider Demographics
NPI:1558169052
Name:OMKAAR LLC
Entity type:Organization
Organization Name:OMKAAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:DHARMENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOYAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:347-654-7109
Mailing Address - Street 1:2840 SANDESTIN DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-2135
Mailing Address - Country:US
Mailing Address - Phone:775-800-1136
Mailing Address - Fax:775-234-5436
Practice Address - Street 1:3205 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-1296
Practice Address - Country:US
Practice Address - Phone:775-800-1136
Practice Address - Fax:775-234-5436
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OMKAAR LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility