Beautiful Life Inc.

Primary specialty

Chore ProviderTaxonomy code 372500000X

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

Aug 31, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Connie Harris

Title

Director

Phone

(702) 491-1265

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Beautiful Life PCA Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1661904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661904000000",
    "number": "1730809690",
    "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": "2022-08-31",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-29",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-491-1265",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chore Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250017558",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "beautifullifeadc@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure 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": [
        {
            "organization_name": "Beautiful Life PCA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beautiful Life
• Beautiful Life Inc.
• Beautiful Life Inc.
• Beautiful Life Inc.
• Beautiful Life Inc.
• Beautiful Machine Chiropractic LLC
• Beautiful Mind of Las Vegas LLC
• Beautiful Minds Psychiatric Services LLC
• Beautiful Reflections Home Care
• Beauty Venom Hair Loss Center

• Chore Provider in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Chore Provider in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.