Provider Demographics
NPI:1679758957
Name:RAINBOW REHABILITATION AND HEALTHCARE CENTER, LLC
Entity Type:Organization
Organization Name:RAINBOW REHABILITATION AND HEALTHCARE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT AND SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:MEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:629-262-0000
Mailing Address - Street 1:8119 MEMPHIS ARLINGTON RD
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:TN
Mailing Address - Zip Code:38133-2103
Mailing Address - Country:US
Mailing Address - Phone:901-937-6302
Mailing Address - Fax:901-937-6856
Practice Address - Street 1:8119 MEMPHIS ARLINGTON RD
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:TN
Practice Address - Zip Code:38133-2103
Practice Address - Country:US
Practice Address - Phone:901-937-6302
Practice Address - Fax:901-937-6856
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ORIANNA HEALTH SYSTEMS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-04
Last Update Date:2017-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN744-0471Medicaid
TN744-0471Medicaid