Provider Demographics
NPI:1265769160
Name:RAINBOW HOME HEALTH SERVICES INC
Entity type:Organization
Organization Name:RAINBOW HOME HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:WAQHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:734-206-2122
Mailing Address - Street 1:1262 AZIZ DR
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48188-5094
Mailing Address - Country:US
Mailing Address - Phone:734-206-2122
Mailing Address - Fax:734-956-9752
Practice Address - Street 1:1262 AZIZ DR
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48188-5094
Practice Address - Country:US
Practice Address - Phone:734-206-2122
Practice Address - Fax:734-956-9752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI02773F251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health