NPIMap

Organization Active NPI

Rainbow Valley Group Home, Inc.

  • Community/Behavioral Health Agency
  • Merced, CA
National Provider Identifier
1942748348
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
247204084 Issued in CA
Legal business name
RAINBOW VALLEY GROUP HOME, INC.
Practice address
2831 G St
Merced, CA 95340-2133
Phone
(209) 722-0202
Fax
(209) 385-9921
NPI assigned
Feb 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Ms. Mabel Eileen Patten, MSW
Title
Executive Director
Phone
(209) 722-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 247204084 CA Primary

Addresses

Primary practice location

2831 G St
Merced, CA 95340-2133

Mailing address

2841 G St
Merced, CA 95340-2133
Phone (209) 722-0202

Other names 1

  • Rainbow Valley Counseling Other name

National Provider Directory

National Provider Directory
Tax ID family
Rainbow Valley Group Home Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2831 G St
Merced, CA 95340
Phone (209) 722-0202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1942748348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 G ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402133",
            "telephone_number": "209-722-0202",
            "fax_number": "209-385-9921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 G ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953402133",
            "telephone_number": "209-722-0202",
            "fax_number": "209-385-9921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAINBOW VALLEY GROUP HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "PATTEN",
        "authorized_official_first_name": "MABEL",
        "authorized_official_middle_name": "EILEEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "209-722-0202",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "247204084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rainbow Valley Counseling",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; 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.