MEDICARE: KAHAK SC 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	261QD1600X	Developmental Disabilities Clinic/Center
3	251C00000X	Developmentally Disabled Services Day Training Agency

General Provider Information

NPI Number	:	1629925078
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAHAK SC INC

Provider Business Mailing Address
First Line	:	2138 TERRABROOK LN
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412
Country	:	US
Telephone Number	:	301-641-1514
Fax Number	:

Provider Business Practice Location Address
First Line	:	2138 TERRABROOK LN
Second Line	:
City	:	CHARLESTON
State	:	SC
Zip	:	29412
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	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “KAHAK SC INC ” Practice Location

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