Rainbow 66 Storehouse Inc.

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

MHL-032-053 Issued in NC

Legal business name

RAINBOW 66 STOREHOUSE INC.

Practice address

706 Rigsbee Ave
Durham, NC 27701-2139

Phone

(919) 686-0165

Fax

(919) 686-0167

NPI assigned

May 13, 2009

Last updated

Jan 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimmie C. Johnson

Title

Administrator

Phone

(910) 276-0766

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Rainbow 66 Storehouse Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Rainbow 66 Storehouse Inc.

  • Personal Care Attendant
  • Laurinburg, NC
  • NPI 1871823500
  NPD tax ID
• Rainbow 66 Storehouse Inc.

  • In Home Supportive Care Agency
  • Laurinburg, NC
  • NPI 1952637878
  NPD tax ID

Locations

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

{
    "created_epoch": "1242172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483920000000",
    "number": "1548494966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283523715",
            "telephone_number": "910-276-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 RIGSBEE AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277012139",
            "telephone_number": "919-686-0165",
            "fax_number": "919-686-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW 66 STOREHOUSE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-13",
        "last_updated": "2017-01-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMMIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "910-276-0766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "MHL-032-053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418378",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farzana Rahman, DDS, MS
• Ziaur Rahman, M.D.
• Amera Anwar Rahmatullah, MBBS
• Karyn W Rahn, M.D.
• Kenyon Michael Railey, M.D.
• Wendy S Rainer, P.T.
• Eric Raines Jr.
• Tiffani Raines, LCSW
• Crystal Rainey, LCSW
• Danielle Martine Rainville, OTR/L

• Personal Care Attendant in Durham, NC
• Providers in Durham, NC by specialty
• Personal Care Attendant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2017; 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.