Organization Active NPI

Rainbow Senior Center Foundation Inc.

Doing business as Rainbow Senior Center

  • Home Delivered Meals
  • Boerne, TX
National Provider Identifier
1841409299
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Delivered MealsTaxonomy code 332U00000X
License
001001192 Issued in TX
Legal business name
RAINBOW SENIOR CENTER FOUNDATION INC.
Doing business as
Rainbow Senior Center
Practice address
17 Old San Antonio Rd
Boerne, TX 78006-3414
Phone
(830) 249-2114
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Olivia S Burdick
Title
Executive Director
Phone
(830) 249-2114

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Delivered Meals 332U00000X 001001192 TX Primary

Addresses

Primary practice location

17 Old San Antonio Rd
Boerne, TX 78006-3414

Mailing address

17 Old San Antonio Rd
Boerne, TX 78006-3414
Phone (830) 249-2114

Other names 1

  • Rainbow Senior Center Doing business as

National Provider Directory

National Provider Directory

Locations

17 Old San Antonio Rd
Boerne, TX 78006
Phone (830) 214-7714

NPI Registry JSON

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1841409299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 OLD SAN ANTONIO RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063414",
            "telephone_number": "830-249-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 OLD SAN ANTONIO RD",
            "city": "BOERNE",
            "state": "TX",
            "postal_code": "780063414",
            "telephone_number": "830-249-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW SENIOR CENTER FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "BURDICK",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "830-249-2114"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "TX",
            "license": "001001192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Senior Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boerne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; 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.