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NPI Code Detail

MEDICARE: BEAUTIFUL REFLECTIONS HOME CARE

MEDICARE: BEAUTIFUL REFLECTIONS HOME CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1253Z00000XIn Home Supportive Care AgencyNV

General Provider Information

NPI Number : 1447745757
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEAUTIFUL REFLECTIONS HOME CARE
Provider Business Mailing Address
First Line : 2020 PINTO LN
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4019
Country : US
Telephone Number : 702-417-4702
Fax Number :
Provider Business Practice Location Address
First Line : 4375 LAS VEGAS BLVD N
Second Line :
City : LAS VEGAS
State : NV
Zip : 89115-0587
Country : US
Telephone Number : 702-417-4702
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MRS. QUANIKA SHUNTAAYE SIMPSON-JACKSON
Credential :
Telephone Number : 702-417-4702
Provider Enumeration Date : 06/28/2018
Last Update Date : 03/12/2019

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Directions to “BEAUTIFUL REFLECTIONS HOME CARE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.