Martha Anns Rainbow House LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MARTHA ANNS RAINBOW HOUSE LLC

Practice address

2638 S Holbrook LN
Tempe, AZ 85282-2940

Phone

(480) 968-6008

Fax

(480) 902-1291

NPI assigned

Jun 19, 2019

Organization subpart

No

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

Authorized official

Name

Craig Phillip Gittens

Title

Owner

Phone

(480) 968-6008

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560902400000",
    "number": "1811557986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2638 S HOLBROOK LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822940",
            "telephone_number": "480-968-6008",
            "fax_number": "480-902-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2638 S HOLBROOK LN",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822940",
            "telephone_number": "480-968-6008",
            "fax_number": "480-902-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA ANNS RAINBOW HOUSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A",
        "authorized_official_last_name": "GITTENS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-968-6008"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "497086",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Marie Marshall, PMHNP-BC
• Stephen James Marshall, LCSW
• Travonyae Nacole Mart
• Walkiria Dairis Marte-Taveras, ND
• James Charles Martell, D.C.
• Martin Sobieraj DMD Ms PC
• Diane Brady Martin, LPC
• Jennifer Martin, LCSW
• Kaelee Martin
• Kylie Martin

• Assisted Living Facility in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.