NEVADA COMMUNITY ENRICHMENT PROGRAM – NPI #1710505946
Clinic/Center

NEVADA COMMUNITY ENRICHMENT PROGRAM is an AHC clinic located in LAS VEGAS, NV. NPPES has assigned the NPI number 1710505946 to NEVADA COMMUNITY ENRICHMENT PROGRAM on July 14, 2020. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEVADA COMMUNITY ENRICHMENT PROGRAM” is a dba name, the actual legal business name for this organization is ACCESSIBLE SPACE INC.. According to the NPI Registry, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QR0401X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

The NPI profile was last updated on Sep 12, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEVADA COMMUNITY ENRICHMENT PROGRAM below.

NPI Profile for
ACCESSIBLE SPACE INC.

NPI Number
1710505946
Enumeration Date

(about 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ACCESSIBLE SPACE INC.
Doing Business As (dba): NEVADA COMMUNITY ENRICHMENT PROGRAM
Primary location
6375 W CHARLESTON BLVD BLDG L
LAS VEGAS, NV 89146-1139
Phone: (702) 259-1903 Fax: (702) 259-1907
3 Other location(s):
3209 Cedar St
Las Vegas, NV 89104-4472
Phone: (702) 431-0672
Fax: (702) 431-0673
4935 N Miller Ln
Las Vegas, NV 89149-5201
Phone: (702) 821-0823
Fax: (702) 822-1890
1405 South Mojave Rd.
Las Vegas NV, NV 89104
Phone: (702) 434-0067
Fax: (702) 434-1490
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JERRY KAPPELER
CONTRACT AND DEVELOPMENT
Phone: (702) 259-1903
Updated
Certification Date
Sep 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0401X
- Clinic/Center / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Primary)
261QR0400X
- Clinic/Center / Rehabilitation

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.