Provider Demographics
NPI:1811014384
Name:RAINBOW GARDENS HOUSING CORP.
Entity Type:Organization
Organization Name:RAINBOW GARDENS HOUSING CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:R
Authorized Official - Last Name:KAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:QMRP
Authorized Official - Phone:660-288-3815
Mailing Address - Street 1:200 E TOM ST
Mailing Address - Street 2:
Mailing Address - City:KEYTESVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:65261-1284
Mailing Address - Country:US
Mailing Address - Phone:660-288-3815
Mailing Address - Fax:660-288-2018
Practice Address - Street 1:200 E TOM ST
Practice Address - Street 2:
Practice Address - City:KEYTESVILLE
Practice Address - State:MO
Practice Address - Zip Code:65261-1284
Practice Address - Country:US
Practice Address - Phone:660-288-3815
Practice Address - Fax:660-288-2018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251C00000XAgenciesDay Training, Developmentally Disabled Services
Not Answered320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Not Answered332B00000XSuppliersDurable Medical Equipment & Medical Supplies