NPIMap

Organization Active NPI

Rainbow Health Care

Doing business as Rainbow Health Care Community

  • Skilled Nursing Facility
  • Bristow, OK
National Provider Identifier
1881008654
Registry record updated Dec 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
CC1901 Issued in OK
Legal business name
RAINBOW HEALTH CARE
Doing business as
Rainbow Health Care Community
Practice address
111 E Washington Ave
Bristow, OK 74010-3444
Phone
(918) 367-2246
Fax
(918) 367-5326
NPI assigned
Jun 19, 2014
Last updated
Dec 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2015

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

Authorized official

Name
Judah Bienstock
Title
Managing Member
Phone
(314) 631-3000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X CC1901 OK Primary

Addresses

Primary practice location

111 E Washington Ave
Bristow, OK 74010-3444

Mailing address

111 E Washington Ave
Bristow, OK 74010-3444
Phone (918) 367-2246

Other names 1

  • Rainbow Health Care Community Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140908000669 OK Part A Provider - Skilled Nursing Facility 7618195504 Practice locations: Bristow, OK

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881008654. Details of each certification follow.

Skilled nursing facility certification: CCN 375320

Legal name
RAINBOW HEALTH CARE
Doing business as
RAINBOW HEALTH CARE COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Dec 1, 1997
Last certification
Mar 1, 2024
Beds
106
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Incorporated
Jun 18, 2013 in OK
Enrollment address
111 E Washington Ave
Bristow, OK 74010-3444
Nursing home name
RAINBOW HEALTH CARE COMMUNITY AND RAINBOW ASSISTED
Affiliated entity
MGM HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rainbow Health Care Community and Rainbow AssistedCCN 375320 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Dec 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
10679.9 residents per day on average
Chain
MGM Healthcare27 facilities in the chain
Penalties (3 years)
1Fines totaling $53,804

Processed by Care Compare on Aug 1, 2026.

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
37D2081950Rainbow Health Care Communities111 East Washington, Bristow, OK 74010Certificate of waiverAug 3, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jerry D Keifer Individual W-2 Managing Employee Mar 29, 2021 100%
Baruch Jeremias Individual 5% Or Greater Direct Ownership Interest Jul 1, 2019 50%
MLS Acquisition LLC Organization, Cedarhurst, NY LLC 5% Or Greater Direct Ownership Interest Jul 1, 2019 5%
Judah Bienstock Individual 5% Or Greater Direct Ownership Interest Jul 1, 2019 45%
Corporate OfficerManaging Member Jan 1, 2015 100%

Facilities with the same owner 4

Facilities that share an organizational owner with 5% or greater ownership or operational control.

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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1403136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1881008654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E WASHINGTON AVE",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740103444",
            "telephone_number": "918-367-2246",
            "fax_number": "918-367-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E WASHINGTON AVE",
            "city": "BRISTOW",
            "state": "OK",
            "postal_code": "740103444",
            "telephone_number": "918-367-2246",
            "fax_number": "918-367-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-19",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "BIENSTOCK",
        "authorized_official_first_name": "JUDAH",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "314-631-3000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "CC1901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Health Care Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bristow, OK

Sources for this page

Verify at the official NPI Registry.