Rainbow Residentials

Primary specialty

HomemakerTaxonomy code 376J00000X

Legal business name

RAINBOW RESIDENTIALS

Practice address

193 East Ave Ste 103
Tallmadge, OH 44278-2341

Phone

(330) 819-4202

Fax

(330) 961-9909

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Angela D Parnell-Jackson

Title

Owner

Phone

(330) 819-3130

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1518467190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "193 EAST AVE STE 103",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782341",
            "telephone_number": "330-819-4202",
            "fax_number": "330-961-9909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "193 EAST AVE STE 103",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442782341",
            "telephone_number": "330-819-4202",
            "fax_number": "330-961-9909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW RESIDENTIALS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PARNELL-JACKSON",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-819-3130",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2812406",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonnie Provitt
• Alicia Esther Puccio, OTR/L
• Jennifer Pung, OTR/L
• Joy May Pushinsky
• Tess Noel Quezada-Juarez, LSW
• Denise M Ramos, PTA
• Ciara Lynn Rauckhorst, PHARM.D.
• Elizabeth Engelmann Raven, PHARM.D.
• William T Reed, M.D.
• Reflections Breast Health Center

• Homemaker in Tallmadge, OH
• Providers in Tallmadge, OH by specialty
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.