Organization Active NPI

Beautiful Reflections Home Care

  • In Home Supportive Care Agency
  • Las Vegas, NV
National Provider Identifier
1447745757
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BEAUTIFUL REFLECTIONS HOME CARE
Practice address
4375 Las Vegas Blvd N
Las Vegas, NV 89115-0587
Phone
(702) 417-4702
NPI assigned
Jun 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Authorized official

Name
Mrs. Quanika Shuntaaye Simpson-Jackson
Title
Owner
Phone
(702) 417-4702

Specialties & licenses 1

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

Addresses

Primary practice location

4375 Las Vegas Blvd N
Las Vegas, NV 89115-0587

Mailing address

2020 Pinto LN
Las Vegas, NV 89106-4019
Phone (702) 417-4702

Other names 1

  • Beautiful Reflections Health Services Doing business as

National Provider Directory

National Provider Directory

Locations

4375 Las Vegas Blvd N
Las Vegas, NV 89115
Phone (702) 417-4702

NPI Registry JSON

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552348800000",
    "number": "1447745757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 PINTO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064019",
            "telephone_number": "702-417-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 LAS VEGAS BLVD N",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891150587",
            "telephone_number": "702-417-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL REFLECTIONS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-28",
        "last_updated": "2019-03-12",
        "status": "A",
        "authorized_official_last_name": "SIMPSON-JACKSON",
        "authorized_official_first_name": "QUANIKA",
        "authorized_official_middle_name": "SHUNTAAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-417-4702",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beautiful Reflections Health Services",
            "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 Mar 12, 2019; 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.