Organization Active NPI

Rainbow LLC

  • In Home Supportive Care Agency
  • Bowling Green, KY
National Provider Identifier
1215359062
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
500172 Issued in KY
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

Updated by the provider on Jul 16, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
18-7188OtherKYMEDICARE CMS CERTIFICATION NUMBER

Other names 1

  • Rainbow Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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, LLCCCN 187188
Ownership
Proprietary
Certified
Apr 20, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2082719Rainbow, LLC1027 US 31 W Bypass, Bowling Green, KY 42101Certificate of waiverAug 19, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Rainbow LLC Organization, Bowling Green, KY LLC, Medical provider/supplier, For-profit 5% Or Greater Direct Ownership Interest Aug 11, 2014
Jana L Pothorst-Ayers Individual 5% Or Greater Direct Ownership Interest Nov 1, 2012 24.5%
Daniel Loyd Ayers Individual Corporate OfficerChief Executive Officer Jul 29, 2014
W-2 Managing EmployeeCeo Jul 29, 2014
Jacy L Pothorst-Ayers Individual 5% Or Greater Direct Ownership Interest Nov 1, 2012 24.5%
Vicki Bates Individual 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.

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

Verify at the official NPI Registry.