Rainbow 66 Storehouse, Inc. Diversity With Destiny

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC2475 Issued in NC

Legal business name

RAINBOW 66 STOREHOUSE, INC. DIVERSITY WITH DESTINY

Practice address

525 Atkinson St
Laurinburg, NC 28352-3715

Phone

(910) 276-0766

NPI assigned

Feb 6, 2017

Last updated

Feb 6, 2017By 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

Mrs. Kimmie Bernita Johnson

Title

Ceo

Phone

(910) 276-0766

Specialties & licenses 1

Addresses

Tax ID family

Rainbow 66 Storehouse Inc2 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.

• Rainbow 66 Storehouse, Inc.

  • Home Health Agency
  • Laurinburg, NC
  • NPI 1376625814
  NPD tax ID

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1114465556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523715",
            "telephone_number": "910-276-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523715",
            "telephone_number": "910-276-0766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW 66 STOREHOUSE, INC. DIVERSITY WITH DESTINY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMMIE",
        "authorized_official_middle_name": "BERNITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-276-0766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC2475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• R&C Consulting Group, Inc.
• Melvin Eugene Raby, D.C.
• Rainbow 66 Storehouse Inc.
• Rainbow 66 Storehouse Inc.
• Rainbow 66 Storehouse, Inc.
• Alana Marie Rauhoff, CCC-SLP, LBA
• Reaching Your Goals
• Steven D Recker, PA-C
• Jerri Lynn Reed, CST/CSFA
• Sarah Anne Regling, LCSWA

• In Home Supportive Care Agency in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.