Organization Active NPI

Kahak MD, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Laurel, MD
National Provider Identifier
1225870546
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
KAHAK MD, INC.
Practice address
9771 Tiger Lily Path Apt 1D
Laurel, MD 20723-6344
Phone
(301) 641-1514
NPI assigned
Jun 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Michel Kahak
Title
Ceo
Phone
(202) 722-1700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

9771 Tiger Lily Path Apt 1D
Laurel, MD 20723-6344

Mailing address

12501 Prosperity Dr Ste 315
Silver Spring, MD 20904-1689
Phone (301) 641-1514

Other names 1

  • KAHAK HEALTH CARE SERVICES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kahak Health Care Services9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1225870546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12501 PROSPERITY DR STE 315",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209041689",
            "telephone_number": "301-641-1514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9771 TIGER LILY PATH APT 1D",
            "city": "LAUREL",
            "state": "MD",
            "postal_code": "207236344",
            "telephone_number": "301-641-1514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHAK MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "KAHAK",
        "authorized_official_first_name": "MICHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "202-722-1700"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAHAK HEALTH CARE SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.