Provider Demographics
NPI:1386642338
Name:RAINBOW PHYSICAL THERAPY & REHAB LLC
Entity Type:Organization
Organization Name:RAINBOW PHYSICAL THERAPY & REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LATIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-552-0846
Mailing Address - Street 1:2401 AMBER DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-1893
Mailing Address - Country:US
Mailing Address - Phone:734-552-0846
Mailing Address - Fax:313-846-1321
Practice Address - Street 1:6710 SOUTHFIELD FWY
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48228-3572
Practice Address - Country:US
Practice Address - Phone:734-552-0846
Practice Address - Fax:313-846-1321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered273Y00000XHospital UnitsRehabilitation Unit
Not Answered291U00000XLaboratoriesClinical Medical Laboratory
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Not Answered332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Not Answered332BD1200XSuppliersDurable Medical Equipment & Medical SuppliesDialysis Equipment & Supplies
Not Answered332BN1400XSuppliersDurable Medical Equipment & Medical SuppliesNursing Facility Supplies
Not Answered347C00000XTransportation ServicesPrivate Vehicle