Organization Active NPI

Rainbow Adult Care LLC

  • Assisted Living Facility (Mental Illness)
  • Las Vegas, NV
National Provider Identifier
1841855319
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
RAINBOW ADULT CARE LLC
Practice address
1823 Belcastro St
Las Vegas, NV 89117-2103
Phone
(702) 858-4559
Fax
(810) 885-0572
NPI assigned
May 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Nichole Crock, RFA
Title
Administrator
Phone
(702) 858-4559

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

1823 Belcastro St
Las Vegas, NV 89117-2103

Mailing address

1823 Belcastro St
Las Vegas, NV 89117-2103
Phone (702) 858-4559

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1841855319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1823 BELCASTRO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172103",
            "telephone_number": "702-858-4559",
            "fax_number": "810-885-0572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 BELCASTRO ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172103",
            "telephone_number": "702-858-4559",
            "fax_number": "810-885-0572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW ADULT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-09",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "CROCK",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-858-4559",
        "authorized_official_credential": "RFA"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; 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.