Provider Demographics
NPI:1255007555
Name:RAINBOW HARMONY HOSPICE INC.
Entity Type:Organization
Organization Name:RAINBOW HARMONY HOSPICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF ADMINISTRATIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MARIA LYKA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALCANTARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-805-7197
Mailing Address - Street 1:25201 TIBBITS AVENUE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355
Mailing Address - Country:US
Mailing Address - Phone:818-805-7197
Mailing Address - Fax:
Practice Address - Street 1:25201 TIBBITS AVENUE
Practice Address - Street 2:SUITE 204
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355
Practice Address - Country:US
Practice Address - Phone:818-805-7197
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based