MEDICARE: KAHAK DE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251B00000X	Case Management Agency
2	251E00000X	Home Health Agency
3	251S00000X	Community/Behavioral Health Agency
4	261QD1600X	Developmental Disabilities Clinic/Center
5	324500000X	Substance Abuse Rehabilitation Facility
6	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1194680074
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAHAK DE INC

Provider Business Mailing Address
First Line	:	1302 STANFORD RD
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19803-5136
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1302 STANFORD RD
Second Line	:
City	:	WILMINGTON
State	:	DE
Zip	:	19803-5136
Country	:	US
Telephone Number	:	301-641-1514
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MICHEL KAHAK
Credential	:
Telephone Number	:	301-641-1514

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/22/2025

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Directions to “KAHAK DE INC ” Practice Location

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