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NPI Code Detail

MEDICARE: KAHAK NC INC

MEDICARE: KAHAK NC 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
1251B00000XCase Management Agency
2251E00000XHome Health Agency
3261QD1600XDevelopmental Disabilities Clinic/Center
4251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1871440297
Entity Type Code : Organization
Provider Name (Legal Business Name) : KAHAK NC INC
Provider Business Mailing Address
First Line : 525 NORTH TRYON STREET
Second Line : SUITE 1600
City : CHARLOTTE
State : NC
Zip : 28202
Country : US
Telephone Number : 301-641-1514
Fax Number :
Provider Business Practice Location Address
First Line : 525 N TRYON ST STE 1600
Second Line :
City : CHARLOTTE
State : NC
Zip : 28202-0213
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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