MEDICARE: KAHAK WI INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251C00000X	Developmentally Disabled Services Day Training Agency
2	251E00000X	Home Health Agency
3	261QD1600X	Developmental Disabilities Clinic/Center
4	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
5	251B00000X	Case Management Agency

General Provider Information

NPI Number	:	1275474884
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KAHAK WI INC

Provider Business Mailing Address
First Line	:	1433 NWATER STREET SUITE 400
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202
Country	:	US
Telephone Number	:	301-641-1514
Fax Number	:

Provider Business Practice Location Address
First Line	:	1433 NWATER STREET SUITE 400
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202
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	:	04/06/2026
Last Update Date	:	04/06/2026

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Directions to “KAHAK WI INC ” Practice Location

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