Active NPI
Rainbow LLC
- In Home Supportive Care Agency
- Bowling Green, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 500172
- Legal business name
- RAINBOW LLC
- Doing business as
- Rainbow Home Health
- Practice address
- 1027 US 31 Bypass
Bowling Green, KY 42101-4911 - Phone
- (270) 745-0033
- Fax
- (270) 745-0034
- NPI assigned
- Jan 14, 2014
- 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
- Vicki L Bates, RN
- Title
- Owner
- Phone
- (270) 745-0033
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| In Home Supportive Care Agency | 253Z00000X | 500172 | KY | Primary |
Addresses
Primary practice location
1027 US 31 Bypass
Bowling Green, KY 42101-4911
Mailing address
1027 US 31W Byp
Bowling Green, KY 42101-2417
Phone (270) 745-0033
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18-7188 | Other | KY | MEDICARE CMS CERTIFICATION NUMBER |
Other names 1
- Rainbow Home Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141206000377 | KY | Part A Provider - Home Health Agency | 1759603582 | Practice locations: Bowling Green, KY |
Home health agency certification: CCN 187188
- Legal name
- RAINBOW LLC
- Doing business as
- RAINBOW HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 20, 2015
- Last certification
- Feb 8, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Aug 27, 2012 in KY
- Enrollment address
- 1027 US 31W Byp
Bowling Green, KY 42101-2417
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Rainbow, LLC
- Ownership
- Proprietary
- Certified
- Apr 20, 2015
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 18D2082719 | Rainbow, LLC | Certificate of waiver | Aug 19, 2026 |
National Provider Directory
National Provider DirectoryLocations
1027 US 31W Byp
Bowling Green, KY 42101
Phone (270) 745-0033
870 Fairview Ave
Ste 2
Bowling Green, KY 42101
Phone (270) 745-0033
Ownership & related parties
All disclosed owners & managing parties 5
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Rainbow LLC | 5% Or Greater Direct Ownership Interest | Aug 11, 2014 | |
| Jana L Pothorst-Ayers | 5% Or Greater Direct Ownership Interest | Nov 1, 2012 | 24.5% |
| Daniel Loyd Ayers | Corporate Officer | Jul 29, 2014 | |
| W-2 Managing Employee | Jul 29, 2014 | ||
| Jacy L Pothorst-Ayers | 5% Or Greater Direct Ownership Interest | Nov 1, 2012 | 24.5% |
| Vicki Bates | 5% Or Greater Direct Ownership Interest | Nov 1, 2012 | 51% |
Practitioners & affiliated clinicians
Affiliated clinicians 2
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Adult Medicine Physician
- Bowling Green, KY
- NPI 1558333286
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721088000000",
"number": "1215359062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 US 31W BYP",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421012417",
"telephone_number": "270-745-0033",
"fax_number": "270-745-0034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1027 US 31 BYPASS",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421014911",
"telephone_number": "270-745-0033",
"fax_number": "270-745-0034"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAINBOW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-14",
"last_updated": "2024-07-16",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "BATES",
"authorized_official_first_name": "VICKI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "270-745-0033",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "KY",
"license": "500172",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE CMS CERTIFICATION NUMBER",
"identifier": "18-7188",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Rainbow Home Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.