Active NPI
Rainbow Board & Care
- Assisted Living Facility
- Yucaipa, CA
National Provider Identifier
1932473758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 366401737
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.