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NPI Code Detail

MEDICARE: KAHAK CT INC

MEDICARE: KAHAK CT INC
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1251E00000XHome Health Agency
2251B00000XCase Management Agency
3261QD1600XDevelopmental Disabilities Clinic/Center
4261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
5251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1275462855
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAHAK CT INC
Provider Business Mailing Address
First Line : 1000 LAFAYETTE BLVD, SUITE 1100
Second Line :
City : BDGEPORTRI
State : CT
Zip : 06604
Country : US
Telephone Number : 301-641-1514
Fax Number :
Provider Business Practice Location Address
First Line : 1000 LAFAYETTE BLVD STE 1100
Second Line :
City : BRIDGEPORT
State : CT
Zip : 06604-4710
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 : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “KAHAK CT INC ” Practice Location

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