Rainwood Healing Space- LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

RAINWOOD HEALING SPACE- LLC

Practice address

9910 N 48TH St Ste 111
Omaha, NE 68152-1548

Phone

(402) 813-8244

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Tonya Marie Goodwin-Daly, BS,PLADC, MSNPI 1437640760

Title

Owner/Operator

Phone

(402) 813-8244

Specialties & licenses 1

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Rainwood Healing Space-LLC

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1093353096
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tonya M Goodwin-Daly, PLMHP, PLADC,

  • Mental Health Counselor
  • Omaha, NE
  • NPI 1437640760

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1235776147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9910 N 48TH ST STE 111",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681521548",
            "telephone_number": "402-813-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9910 N 48TH ST STE 111",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681521548",
            "telephone_number": "402-813-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINWOOD HEALING SPACE- LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "GOODWIN-DALY",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "402-813-8244",
        "authorized_official_credential": "BS,PLADC, MS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437640760",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rainear-Wills
• Denisha Rainer
• Davy V Rainey, MS, CCC-SLP
• Krystal Rainey
• Everett F Rains III
• Rainwood Healing Space-LLC
• Frederick C Raiser III, DO
• Nirmal Arogyaswami Raj, MD
• Ajay Karunakaran Rajan, MD
• Parwati Rajbanshi

• Addiction (Substance Use Disorder) Counselor in Omaha, NE
• Providers in Omaha, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.