NPIMap

Organization Active NPI

Beautiful Life Adult Care LLC

Doing business as Beautiful Life Adult Center

  • Adult Day Care Clinic/Center
  • Omaha, NE
National Provider Identifier
1316715758
Registry record updated Dec 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
BEAUTIFUL LIFE ADULT CARE LLC
Doing business as
Beautiful Life Adult Center
Practice address
4205 S 96TH St
Omaha, NE 68127-1221
Phone
(402) 709-6775
Fax
(833) 471-3392
NPI assigned
Dec 14, 2023
Last updated
Dec 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2023

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

Authorized official

Name
Mr. Paul Kini
Title
Ceo/Owner
Phone
(402) 709-6775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

4205 S 96TH St
Omaha, NE 68127-1221

Mailing address

4205 S 96TH St
Omaha, NE 68127-1221
Phone (402) 709-6775

Other names 1

  • Beautiful Life Adult Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Beautiful Life DD Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4205 S 96th St
Omaha, NE 68127
Phone (402) 709-6775

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1702512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702512000000",
    "number": "1316715758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 S 96TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271221",
            "telephone_number": "402-709-6775",
            "fax_number": "833-471-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 S 96TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681271221",
            "telephone_number": "402-709-6775",
            "fax_number": "833-471-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL LIFE ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-14",
        "last_updated": "2023-12-14",
        "certification_date": "2023-12-14",
        "status": "A",
        "authorized_official_last_name": "KINI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "402-709-6775",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautiful Life Adult Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; 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.