Provider Demographics
NPI:1154956167
Name:A NEW BEAUTIFUL FUTURE LLC
Entity type:Organization
Organization Name:A NEW BEAUTIFUL FUTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIERA
Authorized Official - Middle Name:A
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-470-7664
Mailing Address - Street 1:50 N HONOLULU ST APT 110
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-4312
Mailing Address - Country:US
Mailing Address - Phone:702-470-7664
Mailing Address - Fax:
Practice Address - Street 1:50 N HONOLULU ST APT 110
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89110-4312
Practice Address - Country:US
Practice Address - Phone:702-470-7664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness