Provider Demographics
NPI:1083037121
Name:RAINBOW SENIOR CARE SERVICES, LLC.
Entity Type:Organization
Organization Name:RAINBOW SENIOR CARE SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TREMETRICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SINGLETON
Authorized Official - Suffix:
Authorized Official - Credentials:CMA, CNA
Authorized Official - Phone:912-484-5128
Mailing Address - Street 1:627 CHEROKEE ST NE
Mailing Address - Street 2:SUITE # 21
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-8964
Mailing Address - Country:US
Mailing Address - Phone:678-265-8893
Mailing Address - Fax:678-324-8983
Practice Address - Street 1:627 CHEROKEE ST NE
Practice Address - Street 2:SUITE # 21
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-8964
Practice Address - Country:US
Practice Address - Phone:678-265-8893
Practice Address - Fax:678-324-8983
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-25
Last Update Date:2014-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization