Organization Active NPI

Rainbow Adult Family Home, Inc.

  • Adult Care Home Facility
  • Vancouver, WA
National Provider Identifier
1770755142
Registry record updated Mar 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
208001 Issued in WA
Legal business name
RAINBOW ADULT FAMILY HOME, INC.
Practice address
6001 NE 162ND Ave
Vancouver, WA 98682-5114
Phone
(360) 896-9417
Fax
(360) 896-9417
NPI assigned
Mar 26, 2008
Last updated
Mar 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2008

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

Authorized official

Name
Mr. Robert Donald Durante, NURSING ASSISTANT
Title
Secretary/Treasurer
Phone
(360) 896-9417

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 208001 WA Primary

Addresses

Primary practice location

6001 NE 162ND Ave
Vancouver, WA 98682-5114

Mailing address

6001 NE 162ND Ave
Vancouver, WA 98682-5114
Phone (360) 896-9417

Other identifiers 1

IdentifierTypeStateIssuer
581710MedicaidWA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1770755142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 NE 162ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825114",
            "telephone_number": "360-896-9417",
            "fax_number": "360-896-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 NE 162ND AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825114",
            "telephone_number": "360-896-9417",
            "fax_number": "360-896-9417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW ADULT FAMILY HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-26",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "DURANTE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "360-896-9417",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NURSING ASSISTANT"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "208001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "581710",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2008; 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.