Active NPI
Marcia Christiansen
- Assisted Living Facility
- Manitowoc, WI
National Provider Identifier
1720122690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MARCIA CHRISTIANSEN
- Practice address
- 3100 Southbrook CT
Manitowoc, WI 54220-5999 - Phone
- (920) 684-4851
- Fax
- (920) 684-6106
- NPI assigned
- Feb 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marcia M. Christiansen, NHA, BSW
- Title
- Nursing Home Administrator
- Phone
- (920) 684-4851
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | WI | Primary |
Addresses
Primary practice location
3100 Southbrook CT
Manitowoc, WI 54220-5999
Mailing address
3100 Southbrook CT
Manitowoc, WI 54220-5999
Phone (920) 684-4851
Other names 1
- Rainbow House
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1047368 | Rainbow House | Certificate of waiver | Nov 1, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1720122690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 SOUTHBROOK CT",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205999",
"telephone_number": "920-684-4851",
"fax_number": "920-684-6106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 SOUTHBROOK CT",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542205999",
"telephone_number": "920-684-4851",
"fax_number": "920-684-6106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCIA CHRISTIANSEN",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "CHRISTIANSEN",
"authorized_official_first_name": "MARCIA",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "NURSING HOME ADMINISTRATOR",
"authorized_official_telephone_number": "920-684-4851",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NHA, BSW"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "WI",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Rainbow House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.