Provider Demographics
NPI:1427411800
Name:RAINBOW OF HEAVEN LLC
Entity Type:Organization
Organization Name:RAINBOW OF HEAVEN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VESHANDUS
Authorized Official - Middle Name:
Authorized Official - Last Name:FLEMINGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-912-2876
Mailing Address - Street 1:5 LAKE LYNN DR
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-5271
Mailing Address - Country:US
Mailing Address - Phone:504-912-2876
Mailing Address - Fax:
Practice Address - Street 1:5 LAKE LYNN DR
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-5271
Practice Address - Country:US
Practice Address - Phone:504-912-2876
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-01
Last Update Date:2016-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)