Active NPI
Over the Rainbow Adult Daycare
- Adult Care Home Facility
- Cortland, OH
National Provider Identifier
1215144233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- 2571AFH
- Legal business name
- OVER THE RAINBOW ADULT DAYCARE
- Practice address
- 2305 Elm Rd. Ext.
Cortland, OH 44410-9217 - Phone
- (330) 372-9599
- Fax
- (330) 372-9579
- NPI assigned
- May 17, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Dawna Fye
- Title
- Director
- Phone
- (330) 372-9599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | 2571AFH | OH | Primary |
Addresses
Primary practice location
2305 Elm Rd. Ext.
Cortland, OH 44410-9217
Mailing address
2305 Elm Rd. Ext.
Cortland, OH 44410-9217
Phone (330) 372-9599
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2043041 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Over the Rainbow Adult Daycare
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Cortland, OH
- NPI 1932515038
Locations
2305 Elm Rd NE
Cortland, OH 44410
Phone (330) 372-9599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1215144233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2305 ELM RD. EXT.",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109217",
"telephone_number": "330-372-9599",
"fax_number": "330-372-9579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2305 ELM RD. EXT.",
"city": "CORTLAND",
"state": "OH",
"postal_code": "444109217",
"telephone_number": "330-372-9599",
"fax_number": "330-372-9579"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OVER THE RAINBOW ADULT DAYCARE",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FYE",
"authorized_official_first_name": "DAWNA",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "330-372-9599",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "OH",
"license": "2571AFH",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2043041",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cortland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.