Provider Demographics
NPI:1457740557
Name:RAINBOW CARE HOMES LLC
Entity Type:Organization
Organization Name:RAINBOW CARE HOMES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSEBELL
Authorized Official - Middle Name:
Authorized Official - Last Name:WANJIKU
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:316-209-7372
Mailing Address - Street 1:303 N TYLER RD
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67212-3601
Mailing Address - Country:US
Mailing Address - Phone:316-209-7372
Mailing Address - Fax:316-721-1025
Practice Address - Street 1:303 N TYLER RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-3601
Practice Address - Country:US
Practice Address - Phone:316-209-7372
Practice Address - Fax:316-721-1025
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-13
Last Update Date:2015-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSB087208311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home