NPIMap

Organization Active NPI

Rainbow Health

  • Community/Behavioral Health Agency
  • Ewa Beach, HI
National Provider Identifier
1760162663
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RAINBOW HEALTH
Practice address
4856 E Eha Way Apt a
Ewa Beach, HI 96706-3012
Phone
(504) 644-1912
NPI assigned
Jul 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Authorized official

Name
Nathaniel BossickNPI 1952772881
Title
Executive Director
Phone
(504) 644-1912

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4856 E Eha Way Apt a
Ewa Beach, HI 96706-3012

Mailing address

Rainbow Health
4586A E Eha Way
Ewa Beach, HI 96706

Other names 1

  • Rainbow Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240819003077 HI Part B Supplier - Clinic/Group Practice 1759829906 Receives reassigned benefits from 1 practitioner
Practice locations: Ewa Beach, HI
O20250304000893 HI Part B Supplier - Clinic/Group Practice 3870014129 Receives reassigned benefits from 1 practitioner
Practice locations: Ewa Beach, HI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736467200000",
    "number": "1760162663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RAINBOW HEALTH",
            "address_2": "4586A E EHA WAY",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "96706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4856 E EHA WAY APT A",
            "city": "EWA BEACH",
            "state": "HI",
            "postal_code": "967063012",
            "telephone_number": "504-644-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-25",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "BOSSICK",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "504-644-1912"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Rainbow Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ewa Beach, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.