Organization Active NPI

Marcia Christiansen

  • Assisted Living Facility
  • Manitowoc, WI
National Provider Identifier
1720122690
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Jun 25, 2008

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)CodeLicenseStatePrimary
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 Doing business as

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
52D1047368Rainbow House3100 Southbrook CT, Manitowoc, WI 54220Certificate of waiverNov 1, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.