Provider Demographics
NPI:1922135565
Name:RAINBOW SUPPLY INC
Entity Type:Organization
Organization Name:RAINBOW SUPPLY INC
Other - Org Name:RAINBOW MEDICAL SUPPLY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GELENA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-375-5875
Mailing Address - Street 1:1111 AVENUE U
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5019
Mailing Address - Country:US
Mailing Address - Phone:718-375-5875
Mailing Address - Fax:646-213-3210
Practice Address - Street 1:1111 AVENUE U
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5019
Practice Address - Country:US
Practice Address - Phone:718-375-5875
Practice Address - Fax:646-213-3210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2023-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02660548Medicaid
2167523OtherPK