Active NPI
Rainbow of Sunshine II
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Spring Lake, NC
National Provider Identifier
1306999693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- MHL026812
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3418146 | Medicaid | NC |
National Provider Directory
National Provider Directory- Tax ID family
- Rainbow of Sunshine II
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Non-emergency Medical Transport (VAN)
- Spring Lake, NC
- NPI 1457673931
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.