Organization Active NPI

Raindance Laundry & Diaper Services, LLC

  • Durable Medical Equipment & Medical Supplies
  • Coos Bay, OR
National Provider Identifier
1730172610
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RAINDANCE LAUNDRY & DIAPER SERVICES, LLC
Practice address
350 Laclair St
Coos Bay, OR 97420-2920
Phone
(541) 888-9406
Fax
(541) 888-3986
NPI assigned
Aug 25, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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 R. Watson
Title
Owner
Phone
(541) 888-9406

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

350 Laclair St
Coos Bay, OR 97420-2920

Mailing address

350 Laclair St
Coos Bay, OR 97420-2920
Phone (541) 888-9406

Other identifiers 1

IdentifierTypeStateIssuer
158347MedicaidOR

Other names 1

  • Raindance HealthCare Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730172610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 LACLAIR ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202920",
            "telephone_number": "541-888-9406",
            "fax_number": "541-888-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 LACLAIR ST",
            "city": "COOS BAY",
            "state": "OR",
            "postal_code": "974202920",
            "telephone_number": "541-888-9406",
            "fax_number": "541-888-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINDANCE LAUNDRY & DIAPER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-888-9406",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158347",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raindance HealthCare",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Coos Bay, OR

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.