Provider Demographics
NPI:1124189527
Name:RAINBOW CARE INC
Entity Type:Organization
Organization Name:RAINBOW CARE INC
Other - Org Name:OMEGA PT & REHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:RUEFIEL
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:248-289-1127
Mailing Address - Street 1:130 HAMPTON CIRCLE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48307
Mailing Address - Country:US
Mailing Address - Phone:248-289-1127
Mailing Address - Fax:248-289-1196
Practice Address - Street 1:130 HAMPTON CIRCLE
Practice Address - Street 2:SUITE 150
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48307
Practice Address - Country:US
Practice Address - Phone:248-289-1127
Practice Address - Fax:248-289-1196
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI236695Medicare Oscar/Certification
236695Medicare ID - Type Unspecified