Organization Active NPI

Rainbow Omega, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Eastaboga, AL
National Provider Identifier
1851460992
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
RAINBOW OMEGA, INC.
Practice address
100 Hope Dr
Eastaboga, AL 36260-7363
Phone
(256) 831-0919
Fax
(256) 831-0942
NPI assigned
Nov 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. M Stentson Carpenter
Title
Ceo
Phone
(256) 831-0919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X AL Primary

Addresses

Primary practice location

100 Hope Dr
Eastaboga, AL 36260-7363

Mailing address

PO Box 740
Eastaboga, AL 36260-0740
Phone (256) 831-0919

Other identifiers 1

IdentifierTypeStateIssuer
4958170IMedicaidAL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2196598Rainbow Omega, Inc100 Hope Drive, Eastaboga, AL 36260Certificate of waiverOct 18, 2026

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Omega Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851460992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 740",
            "city": "EASTABOGA",
            "state": "AL",
            "postal_code": "362600740",
            "telephone_number": "256-831-0919",
            "fax_number": "256-831-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOPE DR",
            "city": "EASTABOGA",
            "state": "AL",
            "postal_code": "362607363",
            "telephone_number": "256-831-0919",
            "fax_number": "256-831-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW OMEGA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "STENTSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "256-831-0919",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4958170I",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastaboga, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.