Active NPI
Rainbow Management LLC
- Skilled Nursing Facility
- Bristow, OK
National Provider Identifier
1508864471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- CC1901 1901
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200038690A | Medicaid | OK |
Other names 1
- Rainbow Health Care Community
National Provider Directory
National Provider DirectoryLocations
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.