Organization Active NPI

Rainbow of Sunshine II

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Spring Lake, NC
National Provider Identifier
1306999693
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
MHL026812 Issued in NC
Legal business name
RAINBOW OF SUNSHINE II
Practice address
307 Cedarwood St
Spring Lake, NC 28390-2254
Phone
(910) 527-3083
Fax
(910) 868-3788
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Ms. Tara Ingram
Title
Owner
Phone
(910) 527-3083

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X MHL026812 NC Primary

Addresses

Primary practice location

307 Cedarwood St
Spring Lake, NC 28390-2254

Mailing address

307 Cedarwood St
Spring Lake, NC 28390-2254
Phone (910) 527-3083

Other identifiers 1

IdentifierTypeStateIssuer
3418146MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Rainbow of Sunshine II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

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": "1265155200000",
    "number": "1306999693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CEDARWOOD ST",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902254",
            "telephone_number": "910-527-3083",
            "fax_number": "910-868-3788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CEDARWOOD ST",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283902254",
            "telephone_number": "910-527-3083",
            "fax_number": "910-868-3788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW OF SUNSHINE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "INGRAM",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-527-3083",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL026812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418146",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.