NPIMap

Organization Active NPI

Rainbow Valley Group Home, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Merced, CA
National Provider Identifier
1487199196
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
247203971 Issued in CA
Legal business name
RAINBOW VALLEY GROUP HOME, INC.
Practice address
1227 Cavalaire CT
Merced, CA 95348-9542
Phone
(209) 385-9917
Fax
(209) 385-3792
NPI assigned
Jan 4, 2017
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
Mabel Eileen Patten, MSW
Title
Executive Director
Phone
(209) 722-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 247203971 CA Primary

Addresses

Primary practice location

1227 Cavalaire CT
Merced, CA 95348-9542

Mailing address

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

Other names 1

  • Rainbow Valley Merced Doing business as

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.

NPI Registry JSON

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1487199196",
    "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": "1227 CAVALAIRE CT",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953489542",
            "telephone_number": "209-385-9917",
            "fax_number": "209-385-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW VALLEY GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "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_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "247203971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Valley Merced",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.