NPIMap

Organization Active NPI

Beautiful Life Inc.

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1144992801
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BEAUTIFUL LIFE INC.
Practice address
1380 E Silverado Ranch Blvd
Las Vegas, NV 89183-5924
Phone
(702) 453-8878
Fax
(702) 453-8874
NPI assigned
Oct 1, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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

Authorized official

Name
Connie L Harris
Title
President
Phone
(702) 491-1265

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1380 E Silverado Ranch Blvd
Las Vegas, NV 89183-5924

Mailing address

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

Other names 1

  • Beautiful Life PCA Doing business as

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": "1633046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1144992801",
    "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": "1380 E SILVERADO RANCH BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835924",
            "telephone_number": "702-453-8878",
            "fax_number": "702-453-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL LIFE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-491-1265"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautiful Life PCA",
            "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 1, 2021; 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.