NPIMap

Organization Active NPI

Rainbow of Love III

  • Custodial Care Facility
  • Burlington, NC
National Provider Identifier
1710007117
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Custodial Care FacilityTaxonomy code 311Z00000X
License
FCL-001-111 Issued in NC
Legal business name
RAINBOW OF LOVE III
Practice address
2856 Anderson Rd
Burlington, NC 27217-9105
Phone
(336) 567-0030
Fax
(336) 570-0030
NPI assigned
Mar 30, 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
Mr. Michael J Graves
Title
Owner
Phone
(336) 570-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Custodial Care Facility 311Z00000X FCL-001-111 NC Primary

Addresses

Primary practice location

2856 Anderson Rd
Burlington, NC 27217-9105

Mailing address

2856 Anderson Rd
Burlington, NC 27217-9105
Phone (336) 567-0030

Other identifiers 1

IdentifierTypeStateIssuer
78005526MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Rainbow of Love II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710007117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2856 ANDERSON RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272179105",
            "telephone_number": "336-567-0030",
            "fax_number": "336-570-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2856 ANDERSON RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272179105",
            "telephone_number": "336-567-0030",
            "fax_number": "336-570-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW OF LOVE III",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRAVES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-570-2990",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NC",
            "license": "FCL-001-111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78005526",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

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.