NPIMap

Organization Active NPI

Rainbow Valley Group Home, Inc.

  • Foster Care Agency
  • Merced, CA
National Provider Identifier
1366987190
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foster Care AgencyTaxonomy code 253J00000X
License
247204084 Issued in CA
Legal business name
RAINBOW VALLEY GROUP HOME, INC.
Practice address
2841 G St
Merced, CA 95340-2133
Phone
(209) 722-0202
Fax
(209) 385-9921
NPI assigned
Jan 3, 2017
Last updated
Jan 4, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Authorized official

Name
Ms. Mabel Eileen Patten, MSW
Title
Executive Director
Phone
(209) 722-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foster Care Agency 253J00000X 247204084 CA Primary

Addresses

Primary practice location

2841 G St
Merced, CA 95340-2133

Mailing address

2841 G St
Merced, CA 95340-2133
Phone (209) 722-0202

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Valley Group Home Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

2841 G St
Merced, CA 95340
Phone (209) 382-4260

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1366987190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 G ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402133",
            "telephone_number": "209-722-0202",
            "fax_number": "209-385-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 G ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402133",
            "telephone_number": "209-722-0202",
            "fax_number": "209-385-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW VALLEY GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "PATTEN",
        "authorized_official_first_name": "MABEL",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-722-0202",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "CA",
            "license": "247204084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.