Rainbow Place Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

RAINBOW PLACE INC

Practice address

522 S Rainbow Dr
Hollywood, FL 33021-7514

Phone

(954) 482-3360

NPI assigned

Dec 2, 2020

Last updated

Dec 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Keisha Manthia Walters

Title

Adminstrator/Owner

Phone

(954) 482-3360

Specialties & licenses 2

Addresses

Other names 1

• RAINBOW PLACE INC Other name

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1720683105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "522 S RAINBOW DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217514",
            "telephone_number": "954-482-3360",
            "fax_number": "954-894-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "522 S RAINBOW DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330217514",
            "telephone_number": "954-482-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW PLACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_middle_name": "MANTHIA",
        "authorized_official_title_or_position": "ADMINSTRATOR/OWNER",
        "authorized_official_telephone_number": "954-482-3360"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAINBOW PLACE INC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "RAINBOW PLACE INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.