Active NPI
Kahak VA, Inc.
- Home Health Agency
- Fairfax, VA
National Provider Identifier
1497221303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- KAHAK VA, INC.
- Doing business as
- KAHAK HEALTH CARE SERVICES
- Practice address
- 10560 Main St Ste 112
Fairfax, VA 22030-7177 - Phone
- (703) 385-5800
- Fax
- (703) 385-5801
- NPI assigned
- Oct 17, 2018
- 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
- Michel Kahak
- Title
- President
- Phone
- (301) 641-1514
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Developmental Disabilities Clinic/Center | 261QD1600X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | |||
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | |||
| Adult Companion | 372600000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X |
Addresses
Primary practice location
10560 Main St Ste 112
Fairfax, VA 22030-7177
Mailing address
10560 Main St Ste 112
Fairfax, VA 22030-7177
Phone (703) 385-5800
Other names 1
- KAHAK HEALTH CARE SERVICES
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660867200000",
"number": "1497221303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10560 MAIN ST STE 112",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307177",
"telephone_number": "703-385-5800",
"fax_number": "703-385-5801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10560 MAIN ST STE 112",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307177",
"telephone_number": "703-385-5800",
"fax_number": "703-385-5801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAHAK VA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-17",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A",
"authorized_official_last_name": "KAHAK",
"authorized_official_first_name": "MICHEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-641-1514"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "385HR2060X",
"taxonomy_group": "",
"desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KAHAK HEALTH CARE SERVICES",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "KAHAK HEALTH CARE SERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Fairfax, VA
- Sahair Kaboli-Monfared, LPC
- James Patrick Kacedan, M.D.
- Michael John Kachura, LPC; LMFT
- Rachel Renee Kaczmarczyk
- Niki Kafashzadeh, CCC SLP
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.