BEACON OF LIFE WELLNESS GROUP NPI 1790436541

NPI Information

NPI: 1790436541
Provider Name: BEACON OF LIFE WELLNESS GROUP
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization

Specialization: Assisted Living, Mental Illness

Address:
2300 N RAINBOW BLVD UNIT 113
LAS VEGAS, NV
ZIP 89108
Phone: (702) 845-2862
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BEACON OF LIFE WELLNESS GROUP is an assisted living and mental illness assisted living facility in Las Vegas, NV. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. BEACON OF LIFE WELLNESS GROUP NPI is 1790436541. The provider is registered as an organization entity type.

The provider's business location address is:

2300 N RAINBOW BLVD UNIT 113
LAS VEGAS, NV
ZIP 89108-350
Phone: (702) 845-2862

The provider's authorized official is Shawna Barnes .
The authorized official title is Managing Member / Administrator and has the following contact phone number (702) 845-2862.

The enumeration date for this NPI number is 1/13/2022 and was last updated on 1/24/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	343900000X	Non-emergency Medical Transport (VAN)		No
2	374U00000X	Home Health Aide		No
3	174200000X	Meals		No
4	177F00000X	Lodging		No
5	251B00000X	Case Management		No
6	251E00000X	Home Health		No
7	251S00000X	Community/Behavioral Health		No
8	253Z00000X	In Home Supportive Care		No
9	310400000X	Assisted Living Facility		No
10	3104A0630X	Assisted Living Facility	Assisted Living, Behavioral Disturbances	No
11	310500000X	Intermediate Care Facility, Mental Illness		No
12	320600000X	Residential Treatment Facility, Intellectual and/or Developmental Disabilities		No
13	3104A0625X	Assisted Living Facility	Assisted Living, Mental Illness	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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