Healthcare Provider Details

I. General information

NPI: 1134403975
Provider Name (Legal Business Name): CAPABILITY HEALTH & HUMAN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2011
Last Update Date: 06/17/2020
Certification Date: 06/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 W OAKEY BLVD
LAS VEGAS NV
89146-1103
US

IV. Provider business mailing address

6200 W OAKEY BLVD
LAS VEGAS NV
89146-1103
US

V. Phone/Fax

Practice location:
  • Phone: 702-870-7050
  • Fax:
Mailing address:
  • Phone: 702-870-7050
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberN3100109B121074
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code225XE0001X
TaxonomyEnvironmental Modification Occupational Therapist
License NumberN3100109B121074
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License NumberN3100109B121074
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code225XF0002X
TaxonomyFeeding, Eating & Swallowing Occupational Therapist
License NumberN3100109B121074
License Number StateNV
# 5
Primary TaxonomyN
Taxonomy Code225XR0403X
TaxonomyDriving and Community Mobility Occupational Therapist
License NumberN3100109B121074
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberN3100109B121074
License Number StateNV
# 7
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License NumberN3100109B121074
License Number StateNV
# 8
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License NumberN3100109B121074
License Number StateNV
# 9
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License NumberN3100109B121074
License Number StateNV

VIII. Authorized Official

Name: MRS. CHRSTINE ZACK
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 702-870-7050