Rainbow Medical Transportation LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

RAINBOW MEDICAL TRANSPORTATION LLC

Practice address

2425 Navajo Boulevard
Holbrook, AZ 86025

Phone

(928) 524-1086

Fax

(602) 207-8387

NPI assigned

Sep 7, 2012

Last updated

Jul 31, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Eltayeb Aissa Abdalla

Title

Owner

Phone

(602) 486-8998

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rainbow Trans Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1053660795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2502 EAST UNIVERSITY DRIVE",
            "address_2": "SUITE 205",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85034",
            "telephone_number": "928-524-1086",
            "fax_number": "602-207-8387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2425 NAVAJO BOULEVARD",
            "city": "HOLBROOK",
            "state": "AZ",
            "postal_code": "86025",
            "telephone_number": "928-524-1086",
            "fax_number": "602-207-8387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-07",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "ELTAYEB",
        "authorized_official_middle_name": "AISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-486-8998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "702733",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Trans",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Rainbow Trans",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Holbrook, AZ
• Providers in Holbrook, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.