NPI 1285553933

Coach K Cares

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Virginia Beach, VA

Practice location

Address: 2613 Elon Dr, Virginia Beach, VA 23454-4355
Phone: (757) 240-7467

Authorised official

Name: Ishmael Kakouche
Title: Owner/Qidp
Phone: (757) 240-7467

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1285553933
Entity type: Organization
NPI issued: 14 Jul 2026
Record last updated: 14 Jul 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.