NPIMap

Organization Active NPI

Rainbow Center of Michigan

  • Methadone Clinic
  • Monroe, MI
National Provider Identifier
1598084550
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
580077 Issued in MI
Legal business name
RAINBOW CENTER OF MICHIGAN
Practice address
14733 S Telegraph Rd
Monroe, MI 48161-9545
Phone
(734) 243-8707
Fax
(734) 243-8710
NPI assigned
May 28, 2010
Organization subpart
Yes
Parent organization
RAINBOW CENTER OF MICHIGAN INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Authorized official

Name
Mrs. George Harriet Alexander
Title
President
Phone
(313) 283-7378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X 580077 MI Primary

Addresses

Primary practice location

14733 S Telegraph Rd
Monroe, MI 48161-9545

Mailing address

PO Box 725098
Berkley, MI 48072-5098
Phone (313) 587-3092

Other identifiers 1

IdentifierTypeStateIssuer
2604097MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Center of Mi Inc7 organizations share this tax ID, including this one
Part of
Rainbow Center of Mi Inc

Other organizations with this tax ID 6

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": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275004800000",
    "number": "1598084550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 725098",
            "city": "BERKLEY",
            "state": "MI",
            "postal_code": "480725098",
            "telephone_number": "313-587-3092",
            "fax_number": "313-469-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14733 S TELEGRAPH RD",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619545",
            "telephone_number": "734-243-8707",
            "fax_number": "734-243-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW CENTER OF MICHIGAN",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RAINBOW CENTER OF MICHIGAN INC",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "HARRIET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-283-7378",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "MI",
            "license": "580077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2604097",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.