Organization Active NPI

Rainbow Management LLC

  • Skilled Nursing Facility
  • Bristow, OK
National Provider Identifier
1508864471
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
CC1901 1901 Issued in OK
Legal business name
RAINBOW MANAGEMENT LLC
Practice address
111 E. Washington Ave
Bristow, OK 74010
Phone
(918) 367-2246
Fax
(918) 367-5326
NPI assigned
Jul 13, 2005
Last updated
Feb 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Ms. Diane H. Hambric
Title
Vice President
Phone
(918) 523-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CC1901 1901 OK Primary

Addresses

Primary practice location

111 E. Washington Ave
Bristow, OK 74010

Mailing address

4532 -H E. 51St Street
Suite H
Tulsa, OK 74135
Phone (918) 523-0222

Other identifiers 1

IdentifierTypeStateIssuer
200038690AMedicaidOK

Other names 1

  • Rainbow Health Care Community Former legal business name

National Provider Directory

National Provider Directory

Locations

4532 E 51st St
Ste H
Tulsa, OK 74135

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1508864471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 -H E. 51ST STREET",
            "address_2": "SUITE H",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "74135",
            "telephone_number": "918-523-0222",
            "fax_number": "918-523-0224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E. WASHINGTON AVE",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "74010",
            "telephone_number": "918-367-2246",
            "fax_number": "918-367-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-13",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "HAMBRIC",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "918-523-0222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "CC1901 1901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200038690A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Health Care Community",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Bristow, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.