Organization Active NPI

Rainbow Center, Inc.

Doing business as Rainbow Center Children and Family Services, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Wilkesboro, NC
National Provider Identifier
1700898632
Registry record updated Aug 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
MHL-097-008 Issued in NC
Legal business name
RAINBOW CENTER, INC.
Doing business as
Rainbow Center Children and Family Services, Inc.
Practice address
507 Courthouse Dr
Wilkesboro, NC 28697-2926
Phone
(336) 667-3333
Fax
(336) 667-8749
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2007

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

Authorized official

Name
Ms. Glenda Andrews
Title
Ceo
Phone
(336) 667-3333

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-097-008 NC Primary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X MHL-097-004 NC

Addresses

Primary practice location

507 Courthouse Dr
Wilkesboro, NC 28697-2926

Mailing address

507 Courthouse Dr
Wilkesboro, NC 28697-2926
Phone (336) 667-3333

Other identifiers 2

IdentifierTypeStateIssuer
6603547MedicaidNC
6603548MedicaidNC

Other names 1

  • Rainbow Center Children and Family Services, Inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bridges Foster Care4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188172800000",
    "number": "1700898632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 COURTHOUSE DR",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972926",
            "telephone_number": "336-667-3333",
            "fax_number": "336-667-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 COURTHOUSE DR",
            "city": "WILKESBORO",
            "state": "NC",
            "postal_code": "286972926",
            "telephone_number": "336-667-3333",
            "fax_number": "336-667-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2007-08-27",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "GLENDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-667-3333",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-097-008",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "MHL-097-004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603547",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6603548",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Center Children and Family Services, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilkesboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2007; 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.