Rainbow Adhc of Waltham

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

RAINBOW ADHC OF WALTHAM

Practice address

411 Waverly Oak Rd # 2, Suite 214
Waltham, MA 02452

Phone

(301) 370-4714

NPI assigned

Apr 15, 2013

Organization subpart

No

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

Authorized official

Name

Victoria Tsidulko

Title

Owner

Phone

(301) 370-4714

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1801239397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 WAVERLY OAKS RD STE 214",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024528437",
            "telephone_number": "301-370-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 WAVERLY OAK RD # 2, SUITE 214",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "02452",
            "telephone_number": "301-370-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW ADHC OF WALTHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "TSIDULKO",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-370-4714"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Quintela
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• Alissa Jean Rahilly, BA
• Rainbow Adhc of Neponset River, LLC
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• Daniela Ramirez
• Ansis Ramolins
• Elaine M. Rancatore, DO
• Jason D. Rand, PA

• Adult Day Care Clinic/Center in Waltham, MA
• Providers in Waltham, MA by specialty
• Adult Day Care Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.