Ranbow LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RANBOW LLC

Practice address

130 Stockham Blvd.
Rigby, ID 83442

Phone

(208) 745-6930

NPI assigned

Oct 30, 2019

Organization subpart

Yes

Parent organization

RANBOW LLCAs reported in NPPES

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

Authorized official

Name

Leslie Bowen

Title

Owner

Phone

(208) 244-8319

Specialties & licenses 1

Addresses

Other names 1

• The Wildflower of Rigby Doing business as

Part of

Ranbow LLC

Locations

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

{
    "created_epoch": "1572393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572393600000",
    "number": "1508400912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "859 S. YELLOSTONE HWY. STE 101",
            "city": "REXBURG",
            "state": "ID",
            "postal_code": "83440",
            "telephone_number": "208-244-8319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STOCKHAM BLVD.",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "83442",
            "telephone_number": "208-745-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANBOW LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RANBOW LLC",
        "enumeration_date": "2019-10-30",
        "last_updated": "2019-10-30",
        "status": "A",
        "authorized_official_last_name": "BOWEN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-244-8319"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Wildflower of Rigby",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Rigby, ID
• Providers in Rigby, ID by specialty
• Assisted Living Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2019; 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.