BEAUTIFUL LIFE – NPI #1114644283
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

BEAUTIFUL LIFE is a residential treatment facility located in LAS VEGAS, NV. NPPES has assigned the NPI number 1114644283 to BEAUTIFUL LIFE on October 20, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BEAUTIFUL LIFE” is a dba name, the actual legal business name for this organization is BEAUTIFUL LIFE INC.. The primary taxonomy selected by this provider is 320600000X from the Health Care Provider Taxonomy code set, which is classified as Residential Treatment Facility, Intellectual and/or Developmental Disabilities.

The NPI profile was previously updated about 4 years ago on Oct 26, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEAUTIFUL LIFE below.

NPI Profile for
BEAUTIFUL LIFE INC.

NPI Number
1114644283
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEAUTIFUL LIFE INC.
Doing Business As (dba): BEAUTIFUL LIFE
Primary location
6252 EUGENE AVE
LAS VEGAS, NV 89108-3311
Phone: (702) 780-7543 Fax:
1 Other location(s):
1380 E Silverado Ranch Blvd
Las Vegas, NV 89183-5924
Phone: (702) 453-8878
Fax: (702) 453-8874
Mailing address
1380 E SILVERADO RANCH BLVD
LAS VEGAS, NV 89183-5924
Phone: (702) 453-8878 Fax: (702) 453-8874
Organization Subpart
No
Authorized Official
CONNIE HARRIS
DIRECTOR
Phone: (702) 491-1265
Updated
Certification Date
Oct 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for BEAUTIFUL LIFE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNV250017812
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
320600000X
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Other URL
Endpoint Description
EMAIL
Content Type
OTHER
Affiliation
N
Endpoint Location
1380 E SILVERADO RANCH BLVD,
LAS VEGAS, NV 77025-1669