Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Beacon of Life Wellness Group

Organization Meals Provider · NPI 1790436541

Beacon of Life Wellness Group is a Meals Provider in Las Vegas, Nevada. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
13
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Practice location Address checks out

2300 N Rainbow Blvd Unit 113
Las Vegas, NV 89108-7350
Phone: (702) 845-2862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (Mental Illness) (primary) Taxonomy 3104A0625X
Meals Provider Taxonomy 174200000X
Lodging Provider Taxonomy 177F00000X
Case Management Agency Taxonomy 251B00000X
Home Health Agency Taxonomy 251E00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Assisted Living Facility Taxonomy 310400000X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X
Mental Illness Intermediate Care Facility Taxonomy 310500000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1790436541
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shawna Barnes — Managing Member / Administrator · (702) 845-2862
NPI enumeratedJanuary 13, 2022
Last updated in NPPESJanuary 24, 2022
Certification dateJanuary 24, 2022
Mailing address5840 W Craig Rd # 120-260, Las Vegas, NV 89130-2561

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