Coach K Cares

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

COACH K CARES

Practice address

2613 Elon Dr
Virginia Beach, VA 23454-4355

Phone

(757) 240-7467

NPI assigned

Jul 14, 2026

Organization subpart

No

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

Authorized official

Name

Ishmael Kakouche

Title

Owner/Qidp

Phone

(757) 240-7467

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1783987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1285553933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2613 ELON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2613 ELON DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234544355",
            "telephone_number": "757-240-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COACH K CARES",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-14",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "KAKOUCHE",
        "authorized_official_first_name": "ISHMAEL",
        "authorized_official_title_or_position": "OWNER/QIDP",
        "authorized_official_telephone_number": "757-240-7467"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; 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.