Provider Demographics
NPI:1790299006
Name:RAINBOW COLORS HOME HEALTH SERVICES INC
Entity Type:Organization
Organization Name:RAINBOW COLORS HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-426-4448
Mailing Address - Street 1:1445 E LOS ANGELES AVE STE P
Mailing Address - Street 2:
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2817
Mailing Address - Country:US
Mailing Address - Phone:805-426-4448
Mailing Address - Fax:805-427-9299
Practice Address - Street 1:1445 E LOS ANGELES AVE STE P
Practice Address - Street 2:
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2817
Practice Address - Country:US
Practice Address - Phone:805-426-4448
Practice Address - Fax:805-427-9299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health