Provider Demographics
NPI:1275097164
Name:RAIN HOME CARE
Entity Type:Organization
Organization Name:RAIN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:BRITT
Authorized Official - Last Name:RIGGENBACH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-849-3272
Mailing Address - Street 1:102 ADAMS ST STE A
Mailing Address - Street 2:
Mailing Address - City:MONTE VISTA
Mailing Address - State:CO
Mailing Address - Zip Code:81144-1440
Mailing Address - Country:US
Mailing Address - Phone:719-480-9040
Mailing Address - Fax:
Practice Address - Street 1:102 ADAMS ST STE A
Practice Address - Street 2:
Practice Address - City:MONTE VISTA
Practice Address - State:CO
Practice Address - Zip Code:81144-1440
Practice Address - Country:US
Practice Address - Phone:719-480-9040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health