Organization Active NPI

Reign-Bow House LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lombard, IL
National Provider Identifier
1801608302
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
REIGN-BOW HOUSE LLC
Practice address
55 W 22ND St
Lombard, IL 60148-4854
Phone
(773) 573-8587
NPI assigned
Jan 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Cori Davis
Title
Admin
Phone
(773) 573-8587

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

55 W 22ND St
Lombard, IL 60148-4854

Mailing address

55 W 22ND St
Lombard, IL 60148-4854
Phone (773) 573-8587

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1801608302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484854",
            "telephone_number": "773-573-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601484854",
            "telephone_number": "773-573-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REIGN-BOW HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CORI",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "773-573-8587"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.