NPIMap

Organization Active NPI

Beautiful Life Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1114644283
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
BEAUTIFUL LIFE INC.
Practice address
6252 Eugene Ave
Las Vegas, NV 89108-3311
Phone
(702) 780-7543
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Connie Linnette Harris
Title
Director
Phone
(702) 491-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

6252 Eugene Ave
Las Vegas, NV 89108-3311

Mailing address

1380 E Silverado Ranch Blvd
Las Vegas, NV 89183-5924
Phone (702) 453-8878

Other practice location 1

1380 E Silverado Ranch Blvd
Las Vegas, NV 89183-5924
Phone (702) 453-8878

Other identifiers 1

IdentifierTypeStateIssuer
250017812MedicaidNV

Other names 1

  • Beautiful Life Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL beautifullifeadc@outlook.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Beautiful Life Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1114644283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 E SILVERADO RANCH BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835924",
            "telephone_number": "702-453-8878",
            "fax_number": "702-453-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6252 EUGENE AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891083311",
            "telephone_number": "702-780-7543"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1380 E Silverado Ranch Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891835924",
            "country_code": "US",
            "telephone_number": "702-453-8878",
            "fax_number": "702-453-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAUTIFUL LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "LINNETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-491-1265"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250017812",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "beautifullifeadc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "billing",
            "address_1": "1380 E Silverado Ranch Blvd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891835924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Beautiful Life",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beautiful Life",
            "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 Oct 26, 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.

Verify at the official NPI Registry.