Organization Active NPI

Rainbow Medical Inc

  • Durable Medical Equipment & Medical Supplies
  • Hartford, CT
National Provider Identifier
1528138252
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RAINBOW MEDICAL INC
Practice address
807 Wethersfield Ave
Hartford, CT 06114
Phone
(860) 525-2983
Fax
(860) 727-1719
NPI assigned
Nov 9, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Miroslaw Oldziej
Title
President
Phone
(860) 525-2983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

807 Wethersfield Ave
Hartford, CT 06114

Mailing address

807 Wethersfield Ave
Hartford, CT 06114
Phone (860) 525-2983

Other identifiers 1

IdentifierTypeStateIssuer
12DME0606CT01OtherCTBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930029321 CT DME Supplier - Medical Supply Company 3274651013 Practice locations: Hartford, CT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Rainbow Medical Inc.807 Wethersfield Ave, Hartford, CT 06114-3115(860) 525-2983 Commodes, Urinals, Bedpans|Canes and/or Crutches|Walkers|Ostomy Supplies|Urological Supplies|Surgical Dressings Accepts assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

807 Wethersfield Ave
Hartford, CT 06114
Phone (860) 525-2983

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1528138252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06114",
            "telephone_number": "860-525-2983",
            "fax_number": "860-727-1719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 WETHERSFIELD AVE",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06114",
            "telephone_number": "860-525-2983",
            "fax_number": "860-727-1719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "OLDZIEJ",
        "authorized_official_first_name": "MIROSLAW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-525-2983"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12DME0606CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.