BEAUTIFUL LIFE (NPI# 1164037008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164037008 |
| Entity Type | Organization |
| Organization Name | BEAUTIFUL LIFE |
| Practice Address |
1380 E Silverado Ranch Blvd Las Vegas NV 89183-5924 |
| Practice Telephone | 7024538878 |
| Practice Fax Number | 7024911265 |
| Mailing Telephone | 7024538878 |
| Mailing Fax Number | 7024538878 |
| Enumeration Date | 2020-09-08 |
| Last Update Date | 2020-09-08 |
| Authorized Official Name | CONNIE HARRIS (OWNER) |
| Authorized Official Telephone | 7024911265 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEAUTIFUL LIFE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Other Name | Type Code |
|---|---|
| Beautiful Life | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326607508 | Beautiful Life | Clinic/Center | 1380 E Silverado Ranch Blvd, Las Vegas, NV 89183-5924 | 2019-06-11 |
| 1902370539 | Beautiful Life | Clinic/Center | 1380 E Silverado Ranch Blvd, Las Vegas, NV 89183-5924 | 2019-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | Beautiful Life Adult Daycare, LLC | 240 Naugatuck Avenue, Milford, CT 06460 |
| Connecticut Business Registrations | BEAUTIFUL LIFE ADULT HOME CARE SERVICES, LLC | 33 Woodside Drive, Woodbridge, CT 06525 |
| Oregon Corporations, Companies and Business Names | BEAUTIFUL LIFE BAKING COMPANY | 9237 Sw North Dakota St, Tigard, OR 97223 |
| Colorado Business Entities | Beautiful Life Beautiful World Bakes LTD. | 4259 W. Florida Ave #19796, Denver, CO 80219 |
| Colorado Business Entities | Beautiful Life Boating, LLC | 44 Cook St., Ste. 100, Denver, CO 80206 |
| Colorado Business Entities | Beautiful Life Counseling | 12269 W Kentucky Dr, Lakewood, CO 80228 |
| New York State Corporations | BEAUTIFUL LIFE ENHANCEMENTS (BELLA VITA MIGLIORAMENTI), INC. | 15 Scotts Landing Road, Southampton, New York 11968 |
| New York State Corporations | BEAUTIFUL LIFE EVENT PLANNING INC. | 11 Broadway Suite 615, New York, Ny 10004 |
| Washington State Corporations | BEAUTIFUL LIFE LLC | 326 Dungeness Mdws, Sequim, WA 98382-9727 |
| Connecticut Business Registrations | BEAUTIFUL LIFE LLC | 7 Hillwood West, Old Lyme, CT 06731 |
| Street Address |
1380 E SILVERADO RANCH BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89183-5924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194955096 | Kids Turf Academy II, LLC | Exclusive Provider Organization | 1380 E Silverado Ranch Blvd, Las Vegas, NV 89183-5924 | 2009-07-27 |
| 1326607508 | Beautiful Life | Clinic/Center | 1380 E Silverado Ranch Blvd, Las Vegas, NV 89183-5924 | 2019-06-11 |
| 1902370539 | Beautiful Life | Clinic/Center | 1380 E Silverado Ranch Blvd, Las Vegas, NV 89183-5924 | 2019-01-16 |
| 1164922415 | Adrienne Patterson | Assistant Behavior Analyst | 1380 E Silverado Ranch Blvd, Las Vegas, NV 89183-5924 | 2018-02-13 |
| 1205222924 | Connie Linnette Harris | Early Intervention Provider Agency | 1380 E Silverado Ranch Blvd, Las Vegas, NV 89183-5924 | 2015-04-09 |
| 1851717896 | Keeping Youth Educated, Inc | Early Intervention Provider Agency | 1380 E Silverado Ranch Blvd, Las Vegas, NV 89183-5924 | 2014-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720643067 | Karimzada Silverado Ranch Dentistry, PC | Dentist | 45 E. Silverado Ranch Blvd, Suite 100, Las Vegas, NV 89183 | 2019-05-02 |
| 1396247854 | Brian Timothy Budd | Home Health Aide | 10115 Jefres St, Las Vegas, NV 89183 | 2018-03-01 |
| 1891206983 | Gina Balgoyen | Registered Nurse | 2350 Ione Rd, Las Vegas, NV 89183 | 2017-10-17 |
| 1538552815 | Nganha Cheung | Clinic/Center | 8455 S. Eastern Avenue, Las Vegas, NV 89183 | 2015-03-11 |
| 1467878892 | Steve Sanson Jr. | Rehabilitation Practitioner | 340 Welsh Mist Ct, Las Vegas, NV 89183 | 2014-03-10 |
| 1235401829 | Edward D Lewis Jr. | Behavioral Analyst | 10000 S Maryland Parkway #2167, Las Vegas, NV 89183 | 2012-01-30 |
| 1841575248 | Fabrienne Alicia Bowman | Behavioral Analyst | 10143 Climbing Lily St, Las Vegas, NV 89183 | 2011-10-17 |
| 1447538285 | Thuytien Tran Mai | Optometrist | 9770 S Maryland Pkwy Ste 10, Las Vegas, NV 89183 | 2011-07-27 |
| 1932356870 | Elevation Physical Therapy and Sports and Rehabilitation, LLC | Home Health | 10245 S Maryland Pkwy 153, Las Vegas, NV 89183 | 2008-08-22 |
| 1902902539 | Bruce C Koelliker | Chiropractor | 9775 S Maryland Pkwy, Ste A, Las Vegas, NV 89183 | 2006-09-14 |
| Find all providers in zip 89183 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598312894 | F.a.i.t.h. Behavioral Services and Wellness Center | Day Training/Habilitation Specialist | 4175 N Rancho Dr Ste 160, Las Vegas, NV 89130-3472 | 2019-08-21 |
| 1568973311 | Zaahid Muhammad | Day Training/Habilitation Specialist | 4016 Gray Aster Dr, Las Vegas, NV 89122-3550 | 2017-10-19 |
| 1245780535 | Sandra Garcia | Day Training/Habilitation Specialist | 2701 7th St Trlr 8, Las Vegas, NM 87701-7400 | 2016-10-11 |
| 1184047060 | Shamica Coleman | Day Training/Habilitation Specialist | 5820 Meikle Ln Apt 9-236, Las Vegas, NV 89156-7606 | 2014-01-28 |
| 1942570965 | Barry D Wicklund | Day Training/Habilitation Specialist | 7017 Carmen Blvd, Las Vegas, NV 89128-3406 | 2012-01-06 |
| 1972808228 | Fitzroy D Winters | Day Training/Habilitation Specialist | 213 N Lamb Blvd, Unit F, Las Vegas, NV 89110-0510 | 2011-01-18 |
| 1033457742 | Marissa Wicklund | Day Training/Habilitation Specialist | 7017 Carmen Blvd, Las Vegas, NV 89128-3406 | 2013-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265082952 | Nafisa Daniels | Day Training/Habilitation Specialist | 551 Dutchman Ave, Henderson, NV 89011-4316 | 2019-09-16 |
| 1104337930 | Taheesha Johnson | Day Training/Habilitation Specialist | 615 Kings Center Ave, North Las Vegas, NV 89032 | 2017-10-19 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1346616273 | Elsube LLC | Day Training/Habilitation Specialist | 4132 Solar System St., Nort Las Vegas, NV 89032-0753 | 2015-08-14 |
| 1396041596 | Gloria Caballero | Day Training/Habilitation Specialist | 2419 Capriolate Dr, Sparks, NV 89436-9163 | 2011-02-04 |
| 1063076578 | David R Ball | Day Training/Habilitation Specialist | 480 Galletti Way, Sparks, NV 89431-5564 | 2019-04-30 |
| 1497248652 | Rene Brooksher | Day Training/Habilitation Specialist | 900 W 1st St, Reno, NV 89503-5675 | 2018-06-12 |
| 1760814131 | Patrick Kingsley | Day Training/Habilitation Specialist | 2990 Regal Ct, Reno, NV 89503-1809 | 2013-08-07 |
| 1548527674 | Leona Mccuin | Day Training/Habilitation Specialist | 245 E Centennial Pkwy, 3031, N Las Vegas, NV 89084-1354 | 2012-04-13 |
| 1891093605 | Nadia Navarro | Day Training/Habilitation Specialist | 5466 Spanish Moss Dr, Sparks, NV 89436-2660 | 2011-03-02 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.