Provider Demographics
NPI:1790150381
Name:RAINBOW UNITED CARE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:RAINBOW UNITED CARE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALI
Authorized Official - Middle Name:H
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:507-491-2164
Mailing Address - Street 1:1738 PATRICKS BAY
Mailing Address - Street 2:
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-5544
Mailing Address - Country:US
Mailing Address - Phone:507-491-2164
Mailing Address - Fax:
Practice Address - Street 1:1738 PATRICK BAY
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021
Practice Address - Country:US
Practice Address - Phone:507-491-2164
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-08
Last Update Date:2016-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN853055900025343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)