Organization Active NPI

Kalasho Education and Youth Services

  • Social Worker
  • Warren, MI
National Provider Identifier
1003665050
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
KALASHO EDUCATION AND YOUTH SERVICES
Practice address
29900 Lorraine Ave
Warren, MI 48093-5266
Phone
(586) 393-1570
NPI assigned
May 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nadine Khalil
Title
Owner
Phone
(248) 866-0351

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

29900 Lorraine Ave
Warren, MI 48093-5266

Mailing address

29900 Lorraine Ave
Warren, MI 48093-5266
Phone (586) 393-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260320000777 MI Part B Supplier - Clinic/Group Practice 2062996762 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
Practice locations: Warren, MI

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Kalasho Education and Youth Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

29900 Lorraine Ave
Warren, MI 48093
Phone (586) 393-1570

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1003665050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29900 LORRAINE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935266",
            "telephone_number": "586-393-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29900 LORRAINE AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480935266",
            "telephone_number": "586-393-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALASHO EDUCATION AND YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-14",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "NADINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-866-0351"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.