Rainbow Group Home Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

RAINBOW GROUP HOME INC

Practice address

1288 Cardinal CT
Altamonte Springs, FL 32714-1101

Phone

(321) 303-6126

NPI assigned

Jan 24, 2022

Organization subpart

No

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

Authorized official

Name

Beverly Callum

Title

Owner/Administrator

Phone

(321) 303-6126

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642982400000",
    "number": "1689326423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160037",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327160037",
            "telephone_number": "321-303-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1288 CARDINAL CT",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327141101",
            "telephone_number": "321-303-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW GROUP HOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A",
        "authorized_official_last_name": "CALLUM",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "321-303-6126"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "690663039",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Rafferty, LMHC
• Jonathan Ragheb, MD
• Neil Raghoonanan, PHARM D
• Michele Ragland, MS,ATC,LAT,RT(R),PES
• Syed Muhammad Afeef Rahman, DO
• Eboni Shavone Rainey-Haynes
• Brittany Ramdass
• Jean Rameau Jeune
• Stacy Renee Ramey, ARNP
• Sonia Mercedes Ramirez-Seifert, M.D.

• Developmentally Disabled Services Day Training Agency in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; 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.