Organization Active NPI

Over the Rainbow Adult Daycare

  • Adult Care Home Facility
  • Cortland, OH
National Provider Identifier
1215144233
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
2571AFH Issued in OH
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2043041MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Over the Rainbow Adult Daycare2 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.

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.

Verify at the official NPI Registry.