NPIMap

Organization Active NPI

Rainbow Adult Child Family Services

  • Preferred Provider Organization
  • N Las Vegas, NV
National Provider Identifier
1104176361
Registry record updated Sep 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
MIO195 Issued in NV
Legal business name
RAINBOW ADULT CHILD FAMILY SERVICES
Practice address
5016 Blue Rose St
N Las Vegas, NV 89081-2676
Phone
(702) 666-1626
NPI assigned
Sep 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2012

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

Authorized official

Name
Ms. Chantell Laniece Davis
Title
Senior Office Manager
Phone
(702) 706-7855

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X MIO195 NV Primary

Addresses

Primary practice location

5016 Blue Rose St
N Las Vegas, NV 89081-2676

Mailing address

5016 Blue Rose St.
N. Las Vegas, NV 89081
Phone (702) 666-1626

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Adult Child Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1104176361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5016 BLUE ROSE ST.",
            "city": "N. LAS VEGAS",
            "state": "NV",
            "postal_code": "89081",
            "telephone_number": "702-666-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5016 BLUE ROSE ST",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890812676",
            "telephone_number": "702-666-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW ADULT CHILD FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHANTELL",
        "authorized_official_middle_name": "LANIECE",
        "authorized_official_title_or_position": "SENIOR OFFICE MANAGER",
        "authorized_official_telephone_number": "702-706-7855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NV",
            "license": "MIO195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.