Organization Active NPI

Rainbow Board & Care

  • Assisted Living Facility
  • Yucaipa, CA
National Provider Identifier
1932473758
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
366401737 Issued in CA
Legal business name
RAINBOW BOARD & CARE
Practice address
13557 3Rd St.
Yucaipa, CA 92399-5345
Phone
(909) 795-8144
Fax
(909) 795-5880
NPI assigned
Feb 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Authorized official

Name
Marino Manjarrez
Title
Licensee/Administrator
Phone
(909) 795-8144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 366401737 CA Primary

Addresses

Primary practice location

13557 3Rd St.
Yucaipa, CA 92399-5345

Mailing address

13557 3Rd St
Yucaipa, CA 92399-5345
Phone (909) 795-8144

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1932473758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13557 3RD ST",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995345",
            "telephone_number": "909-795-8144",
            "fax_number": "909-795-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13557 3RD ST.",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923995345",
            "telephone_number": "909-795-8144",
            "fax_number": "909-795-5880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW BOARD & CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "MANJARREZ",
        "authorized_official_first_name": "MARINO",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "909-795-8144"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "366401737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.