NPIMap

Organization Active NPI

Accessible Space Inc.

Doing business as Nevada Community Enrichment Program

  • Rehabilitation Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1053531459
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
ACCESSIBLE SPACE INC.
Doing business as
Nevada Community Enrichment Program
Practice address
6375 West Charleston Blvd.
Suite L200 WCL
Las Vegas, NV 89146
Phone
(702) 259-1903
Fax
(702) 259-1907
NPI assigned
Apr 26, 2007
Last updated
Jul 14, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
ACCESSIBLE SPACE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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

Authorized official

Name
Jerry Kappeler
Title
Director
Phone
(702) 259-1903

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

6375 West Charleston Blvd.
Suite L200 WCL
Las Vegas, NV 89146

Mailing address

6375 West Charleston Blvd.
Suite L200 WCL
Las Vegas, NV 89146
Phone (702) 259-1903

Other identifiers 1

IdentifierTypeStateIssuer
005502006MedicaidNV

Other names 1

  • Nevada Community Enrichment Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Accessible Space Inc16 organizations share this tax ID, including this one
Part of
Accessible Space Inc

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

6375 W Charleston Blvd
Ste L200
Las Vegas, NV 89146
Phone (702) 259-1903

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1053531459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 WEST CHARLESTON BLVD.",
            "address_2": "SUITE L200 WCL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-259-1903",
            "fax_number": "702-259-1907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 WEST CHARLESTON BLVD.",
            "address_2": "SUITE L200 WCL",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-259-1903",
            "fax_number": "702-259-1907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESSIBLE SPACE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCESSIBLE SPACE INC.",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "KAPPELER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-259-1903"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005502006",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Community Enrichment Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Nevada Community Enrichment Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.