NPIMap

Organization Active NPI

Rainbow of Love II

  • Custodial Care Facility
  • Burlington, NC
National Provider Identifier
1508986993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
FCL-001-112 Issued in NC
Legal business name
RAINBOW OF LOVE II
Practice address
415 Rauhut St
Burlington, NC 27217-2457
Phone
(336) 226-8844
Fax
(336) 228-9376
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Michael J Graves
Title
Owner
Phone
(336) 570-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X FCL-001-112 NC Primary

Addresses

Primary practice location

415 Rauhut St
Burlington, NC 27217-2457

Mailing address

415 Rauhut St
Burlington, NC 27217-2457
Phone (336) 226-8844

Other identifiers 1

IdentifierTypeStateIssuer
7805225MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Rainbow of Love II2 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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508986993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 RAUHUT ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172457",
            "telephone_number": "336-226-8844",
            "fax_number": "336-228-9376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 RAUHUT ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272172457",
            "telephone_number": "336-226-8844",
            "fax_number": "336-228-9376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW OF LOVE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-570-2990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-001-112",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805225",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.