Beautiful Affectation

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

BEAUTIFUL AFFECTATION

Practice address

1415 Arville St Ste 101
Las Vegas, NV 89102-0536

Phone

(702) 626-7637

NPI assigned

Mar 27, 2018

Last updated

Mar 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Patrice Bingham

Title

President

Phone

(702) 626-7637

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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.

• Patrice Rideout

  • Social Worker
  • North Las Vegas, NV
  • NPI 1184150658

  Rehabilitation Practitioner

  NPD (past)

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1750886289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 ARVILLE ST STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020536",
            "telephone_number": "702-353-6738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 ARVILLE ST STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020536",
            "telephone_number": "702-626-7637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL AFFECTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "BINGHAM",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-626-7637",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184150658",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Beaulieu
• Kenneth James Beaulieu, LMHC
• Kirk James Beaulieu, RPH
• Samuel Anthony Beaumonte
• Beauti' Den Crown Restoration Clinic (Beauti Den)
• Beautiful Hearts BHC
• Beautiful Life
• Beautiful Life
• Beautiful Life Inc. (Beautiful Life)
• Beautiful Life Inc. (Beautiful Life PCA)

• Voluntary or Charitable Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Voluntary or Charitable Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.