Imaginary Rainbow LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

IMAGINARY RAINBOW LLC

Practice address

407 Wekiva Springs Rd Ste 207-I
Longwood, FL 32779-6096

Phone

(786) 452-3145

NPI assigned

Mar 6, 2019

Organization subpart

No

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

Authorized official

Name

Zahily Mesa Roman

Title

Ceo

Phone

(786) 452-3145

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1551830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552003200000",
    "number": "1235697434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WEKIVA SPRINGS RD STE 207-I",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327796096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WEKIVA SPRINGS RD STE 207-I",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327796096",
            "telephone_number": "786-452-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGINARY RAINBOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-06",
        "last_updated": "2019-03-08",
        "status": "A",
        "authorized_official_last_name": "MESA ROMAN",
        "authorized_official_first_name": "ZAHILY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-452-3145"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Longwood, FL
• Providers in Longwood, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2019; 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.