Rainbow Beach Qoc, LLC

Primary specialty

Mental Illness Intermediate Care FacilityTaxonomy code 310500000X

License

0047332 Issued in IL

Legal business name

RAINBOW BEACH QOC, LLC

Practice address

7325 S Exchange Ave
Chicago, IL 60649-3407

Phone

(773) 731-7300

Fax

(773) 731-5781

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mark Steinberg

Title

Chief Operating Officer

Phone

(847) 905-3000

Specialties & licenses 1

Addresses

Other names 1

• Rainbow Beach Care Center Doing business as

Locations

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473206400000",
    "number": "1154447753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7325 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493407",
            "telephone_number": "773-731-7300",
            "fax_number": "773-731-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7325 S EXCHANGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493407",
            "telephone_number": "773-731-7300",
            "fax_number": "773-731-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW BEACH QOC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2016-09-07",
        "status": "A",
        "authorized_official_last_name": "STEINBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "847-905-3000"
    },
    "taxonomies": [
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": "IL",
            "license": "0047332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Beach Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mansi Raina, DMD
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• John Martin Raine, L.C.P.C.

• Mental Illness Intermediate Care Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Illness Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.