NPIMap

Organization Active NPI

Rainbow Road Therapies, Inc.

  • Developmentally Disabled Services Day Training Agency
  • Las Vegas, NM
National Provider Identifier
1639214059
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
D4016 Issued in NM
Legal business name
RAINBOW ROAD THERAPIES, INC.
Practice address
615 E Lincoln St
Las Vegas, NM 87701-4502
Phone
(505) 426-8095
Fax
(505) 426-8095
NPI assigned
Feb 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Mary Adelaide Simpson, M.S. CCC-SLP
Title
Director
Phone
(505) 426-8095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X D4016 NM Primary

Addresses

Primary practice location

615 E Lincoln St
Las Vegas, NM 87701-4502

Mailing address

615 E Lincoln St
Las Vegas, NM 87701-4502
Phone (505) 426-8095

Other identifiers 1

IdentifierTypeStateIssuer
34851348MedicaidNM

Other names 1

  • Adelaide Simpson Speech Language services Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639214059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E LINCOLN ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014502",
            "telephone_number": "505-426-8095",
            "fax_number": "505-426-8095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E LINCOLN ST",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014502",
            "telephone_number": "505-426-8095",
            "fax_number": "505-426-8095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW ROAD THERAPIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ADELAIDE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "505-426-8095",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NM",
            "license": "D4016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34851348",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adelaide Simpson Speech Language services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.