Organization Active NPI

Rainbow Home Healthcare Inc

  • Home Health Agency
  • Maplewood, MN
National Provider Identifier
1609303932
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
RAINBOW HOME HEALTHCARE INC
Practice address
2035 County Road D E Ste 200
Maplewood, MN 55109-5301
Phone
(651) 778-0562
Fax
(651) 778-9967
NPI assigned
May 17, 2017
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Lauvuataw Lor
Title
Manager
Phone
(651) 778-0562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X MN Primary

Addresses

Primary practice location

2035 County Road D E Ste 200
Maplewood, MN 55109-5301

Mailing address

2035 County Road D E Ste 200
Maplewood, MN 55109-5301
Phone (651) 778-0562

Other identifiers 5

IdentifierTypeStateIssuer
69239OtherMNHEALTH PARTNERS
170909OtherMNUCARE
A455433300MedicaidMN
A073455100MedicaidMN
M328678000MedicaidMN

National Provider Directory

National Provider Directory

Locations

2035 County Road D E
Ste 200
Maplewood, MN 55109
Phone (651) 778-0562

NPI Registry JSON

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

{
    "created_epoch": "1494979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1609303932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 COUNTY ROAD D E STE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095301",
            "telephone_number": "651-778-0562",
            "fax_number": "651-778-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 COUNTY ROAD D E STE 200",
            "city": "MAPLEWOOD",
            "state": "MN",
            "postal_code": "551095301",
            "telephone_number": "651-778-0562",
            "fax_number": "651-778-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW HOME HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-17",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "LOR",
        "authorized_official_first_name": "LAUVUATAW",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "651-778-0562"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "69239",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "170909",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A455433300",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A073455100",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M328678000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maplewood, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.