NPIMap

Organization Active NPI

Rainbow Enhanced Academic Developers, Incorporated

  • Community/Behavioral Health Agency
  • Wadesboro, NC
National Provider Identifier
1295888741
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RAINBOW ENHANCED ACADEMIC DEVELOPERS, INCORPORATED
Practice address
904 Morven Road
Wadesboro, NC 28170-2834
Phone
(704) 694-2610
Fax
(704) 694-2616
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Dr. Lawrence Oliver Elliott, PHD
Title
Director
Phone
(704) 694-2610

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

904 Morven Road
Wadesboro, NC 28170-2834

Mailing address

PO Box 124
Wadesboro, NC 28170-0124
Phone (704) 694-2610

Other identifiers 4

IdentifierTypeStateIssuer
8301191MedicaidNC
8301191RMedicaidNC
8301191GMedicaidNC
8301191BMedicaidNC

Other names 1

  • R.E.A.D., Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Enhanced Academic Developers Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

904 Morven Rd
Wadesboro, NC 28170
Phone (704) 694-2610

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1295888741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 124",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281700124",
            "telephone_number": "704-694-2610",
            "fax_number": "704-694-2616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "904 MORVEN ROAD",
            "city": "WADESBORO",
            "state": "NC",
            "postal_code": "281702834",
            "telephone_number": "704-694-2610",
            "fax_number": "704-694-2616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW ENHANCED ACADEMIC DEVELOPERS, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "OLIVER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-694-2610",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301191",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301191R",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301191G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301191B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "R.E.A.D., Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wadesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; 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.