Active NPI
Rainbow Adult Care LLC
- Assisted Living Facility (Mental Illness)
- Las Vegas, NV
National Provider Identifier
1841855319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Mental Illness)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.