Provider Demographics
NPI:1528203585
Name:RAINBOW HEALTHCARE SYSTEMS, LLC
Entity Type:Organization
Organization Name:RAINBOW HEALTHCARE SYSTEMS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABEDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:949-474-1594
Mailing Address - Street 1:18 LORENZO
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92614-5327
Mailing Address - Country:US
Mailing Address - Phone:949-474-1594
Mailing Address - Fax:
Practice Address - Street 1:18 LORENZO
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92614-5327
Practice Address - Country:US
Practice Address - Phone:949-474-1594
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care