Provider Demographics
NPI:1336288489
Name:RAINBOW HOUSE, INC.
Entity Type:Organization
Organization Name:RAINBOW HOUSE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:P
Authorized Official - Last Name:KRUCIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-599-1938
Mailing Address - Street 1:8915 NEW WORLD
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2854
Mailing Address - Country:US
Mailing Address - Phone:210-599-1938
Mailing Address - Fax:210-599-9056
Practice Address - Street 1:8915 NEW WORLD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78239-2854
Practice Address - Country:US
Practice Address - Phone:210-599-1938
Practice Address - Fax:210-599-9056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX911320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities