Provider Demographics
NPI:1366687584
Name:RAINBOW ADULT DAY CARE INC.
Entity Type:Organization
Organization Name:RAINBOW ADULT DAY CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:956-781-6779
Mailing Address - Street 1:PO BOX 2691
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:TX
Mailing Address - Zip Code:78589-2903
Mailing Address - Country:US
Mailing Address - Phone:956-781-6779
Mailing Address - Fax:956-781-0966
Practice Address - Street 1:618 S. KANSAS AVE.
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:TX
Practice Address - Zip Code:78589-2903
Practice Address - Country:US
Practice Address - Phone:956-781-6779
Practice Address - Fax:956-781-0966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-03
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX125439261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX003467OtherDADS VENDOR NUMBER