Provider Demographics
NPI:1417250713
Name:RAINBOW HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:RAINBOW HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:OGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-210-2200
Mailing Address - Street 1:20406 W RAINBOW TRL
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-4333
Mailing Address - Country:US
Mailing Address - Phone:623-210-2200
Mailing Address - Fax:
Practice Address - Street 1:20406 W RAINBOW TRL
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-4333
Practice Address - Country:US
Practice Address - Phone:623-210-2200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-09
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care