Provider Demographics
NPI:1013350370
Name:RAINBOW TERRACE ADULT DAY CARE CENTER, LLC
Entity Type:Organization
Organization Name:RAINBOW TERRACE ADULT DAY CARE CENTER, LLC
Other - Org Name:RAINBOW TERRACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-847-0004
Mailing Address - Street 1:1498 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 367
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3817
Mailing Address - Country:US
Mailing Address - Phone:410-580-1200
Mailing Address - Fax:410-580-0979
Practice Address - Street 1:9135 GUILFORD RD
Practice Address - Street 2:SUITE 100
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2577
Practice Address - Country:US
Practice Address - Phone:301-725-7088
Practice Address - Fax:301-725-2388
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ADULT DAY HEALTH CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-04-16
Last Update Date:2013-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care