Provider Demographics
NPI:1821799727
Name:RAINBOW HOSPICE CARE, INC.
Entity Type:Organization
Organization Name:RAINBOW HOSPICE CARE, INC.
Other - Org Name:RAINBOW SUPPORTIVE CARE MANAGEMENT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:R
Authorized Official - Last Name:MAIER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:920-674-6255
Mailing Address - Street 1:147 W ROCKWELL ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON
Mailing Address - State:WI
Mailing Address - Zip Code:53549-2048
Mailing Address - Country:US
Mailing Address - Phone:920-674-6255
Mailing Address - Fax:920-674-5288
Practice Address - Street 1:1225 REMMEL DR
Practice Address - Street 2:
Practice Address - City:JOHNSON CREEK
Practice Address - State:WI
Practice Address - Zip Code:53094-8511
Practice Address - Country:US
Practice Address - Phone:920-674-6255
Practice Address - Fax:920-674-5288
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAINBOW HOSPICE CARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-16
Last Update Date:2024-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty