Organization Active NPI

Rainbow Health Care Services, P.C.

  • Home Health Agency
  • Bolingbrook, IL
National Provider Identifier
1659352912
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
1010463 Issued in IL
Legal business name
RAINBOW HEALTH CARE SERVICES, P.C.
Practice address
101 Royce Rd
Ste 4
Bolingbrook, IL 60440-1458
Phone
(630) 759-9640
NPI assigned
Nov 12, 2005
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
Geraldine T. Gaden, BSN
Title
President
Phone
(630) 759-9640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1010463 IL Primary

Addresses

Primary practice location

101 Royce Rd
Ste 4
Bolingbrook, IL 60440-1458

Mailing address

101 Royce Rd
Ste 4
Bolingbrook, IL 60440-1458
Phone (630) 759-9640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051116000293 IL Part A Provider - Home Health Agency 3678592979 Practice locations: Bolingbrook, IL

Home health agency certification: CCN 147873

Legal name
RAINBOW HEALTH CARE SERVICES, P.C.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 4, 2006
Last certification
Aug 19, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Enrollment address
101 Royce Rd
Suite 20
Bolingbrook, IL 60440-1429

Care Compare: Home health agency

Medicare Care Compare
Listed as
Rainbow Health Care Services, P CCCN 147873
Ownership
Proprietary
Certified
May 4, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D1039068Rainbow Health Care Services PC101 Royce Rd, Ste 20, Bolingbrook, IL 60440Certificate of waiverApr 3, 2027

National Provider Directory

National Provider Directory

Locations

101 Royce Rd
Ste 20
Bolingbrook, IL 60440
Phone (630) 759-9640

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Geraldine Gaden Individual 5% Or Greater Direct Ownership InterestPresident Nov 17, 2004 78%
Corporate OfficerPresident Nov 17, 2004
W-2 Managing EmployeePresident Nov 17, 2004 78%
Operational/Managerial ControlPresident Nov 17, 2004 78%
Salvacion Paredes Individual 5% Or Greater Direct Ownership InterestVice President Nov 17, 2004 22%
Corporate OfficerVice President Nov 17, 2004 22%

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659352912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 ROYCE RD",
            "address_2": "STE 4",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401458",
            "telephone_number": "630-759-9640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ROYCE RD",
            "address_2": "STE 4",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401458",
            "telephone_number": "630-759-9640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW HEALTH CARE SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GADEN",
        "authorized_official_first_name": "GERALDINE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-759-9640",
        "authorized_official_credential": "BSN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bolingbrook, IL

Sources for this page

Verify at the official NPI Registry.