Provider Demographics
NPI:1023308186
Name:RAINBOW HOME HEALTH CARE SERVICES, INC.
Entity type:Organization
Organization Name:RAINBOW HOME HEALTH CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-623-3491
Mailing Address - Street 1:12345 TELEGRAPH RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TAYLOR
Mailing Address - State:MI
Mailing Address - Zip Code:48180-6860
Mailing Address - Country:US
Mailing Address - Phone:313-539-6845
Mailing Address - Fax:734-661-4501
Practice Address - Street 1:12345 TELEGRAPH RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TAYLOR
Practice Address - State:MI
Practice Address - Zip Code:48180-6860
Practice Address - Country:US
Practice Address - Phone:313-539-6845
Practice Address - Fax:734-661-4501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health