Under the Rainbow LLC

Primary specialty

Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X

Legal business name

UNDER THE RAINBOW LLC

Practice address

1515 S Lincoln St
Shawano, WI 54166-3428

Phone

(715) 524-4006

Fax

(715) 524-5595

NPI assigned

Oct 14, 2024

Organization subpart

No

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

Authorized official

Name

Mary J Madsen

Title

Owner

Phone

(715) 853-6944

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1659191732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S LINCOLN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663428",
            "telephone_number": "715-524-4006",
            "fax_number": "715-524-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S LINCOLN ST",
            "city": "SHAWANO",
            "state": "WI",
            "postal_code": "541663428",
            "telephone_number": "715-524-4006",
            "fax_number": "715-524-5595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER THE RAINBOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "MADSEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-853-6944"
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ty D Thornock, CRNA
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• Child Intellectual and/or Developmental Disabilities Respite Care in Shawano, WI
• Providers in Shawano, WI by specialty
• Child Intellectual and/or Developmental Disabilities Respite Care in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.