Active NPI
Kalasho Education and Youth Services
- Speech-Language Pathologist
- Warren, MI
National Provider Identifier
1386597433
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Legal business name
- KALASHO EDUCATION AND YOUTH SERVICES
- Practice address
- 29900 Lorraine Ave
Warren, MI 48093-5266 - Phone
- (586) 393-1570
- NPI assigned
- Feb 18, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadine Khalil
- Title
- Board
- Phone
- (586) 393-1570
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260320000777 | MI | Part B Supplier - Clinic/Group Practice | 2062996762 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the 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 Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Social Worker
- Warren, MI
- NPI 1003665050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774828800000",
"number": "1386597433",
"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": "2026-02-18",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A",
"authorized_official_last_name": "KHALIL",
"authorized_official_first_name": "NADINE",
"authorized_official_title_or_position": "BOARD",
"authorized_official_telephone_number": "586-393-1570"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"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 Mar 30, 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.