Rainbow 66 Storehouse, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC 2475 Issued in NC

Legal business name

RAINBOW 66 STOREHOUSE, INC.

Practice address

525 Atkinson St
Laurinburg, NC 28352-3715

Phone

(910) 276-0766

Fax

(910) 277-6295

NPI assigned

Oct 20, 2006

Last updated

Mar 31, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimmie C. Johnson

Title

President

Phone

(910) 276-0766

Specialties & licenses 1

Addresses

Other identifiers 5

Tax ID family

Rainbow 66 Storehouse Inc2 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.

• Rainbow 66 Storehouse, Inc. Diversity With Destiny

  • In Home Supportive Care Agency
  • Laurinburg, NC
  • NPI 1114465556
  NPD tax ID

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427760000000",
    "number": "1376625814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523715",
            "telephone_number": "910-276-0766",
            "fax_number": "910-277-6295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523715",
            "telephone_number": "910-276-0766",
            "fax_number": "910-277-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW 66 STOREHOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-03-31",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMMIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-276-0766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC 2475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7804558",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601037",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418378",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409455",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302212",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Jeanette Quick, LCAS-A
• R&C Consulting Group, Inc.
• Melvin Eugene Raby, D.C.
• Rainbow 66 Storehouse Inc.
• Rainbow 66 Storehouse Inc.
• Rainbow 66 Storehouse, Inc. Diversity With Destiny
• Alana Marie Rauhoff, CCC-SLP, LBA
• Reaching Your Goals
• Steven D Recker, PA-C
• Jerri Lynn Reed, CST/CSFA

• Home Health Agency in Laurinburg, NC
• Providers in Laurinburg, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2015; 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.