NPIMap

Organization Active NPI

Beautiful Life Inc.

  • Day Training/Habilitation Specialist
  • Las Vegas, NV
National Provider Identifier
1164037008
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Legal business name
BEAUTIFUL LIFE INC.
Practice address
1380 E Silverado Ranch Blvd
Las Vegas, NV 89183-5924
Phone
(702) 453-8878
Fax
(702) 491-1265
NPI assigned
Sep 8, 2020
Organization subpart
Yes
Parent organization
BEAUTIFUL LIFE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 373H00000X 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 practice location 1

6252 Eugene Ave
Las Vegas, NV 89108-3311
Phone (702) 453-8878

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address beautifullifeadc@outlook.com Direct

National Provider Directory

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

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": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1164037008",
    "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": "702-453-8878"
        },
        {
            "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": "702-491-1265"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6252 Eugene Ave",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891083311",
            "country_code": "US",
            "telephone_number": "702-453-8878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEAUTIFUL LIFE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BEAUTIFUL LIFE INC.",
        "enumeration_date": "2020-09-08",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-491-1265"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Day Training/Habilitation Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beautifullifeadc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "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": []
}

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 4, 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.