1316497209 NPI number — RAINBOW HELPING HANDS INC

Table of content: MS. LAUREN REIS (NPI 1346759016)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316497209 NPI number — RAINBOW HELPING HANDS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RAINBOW HELPING HANDS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
RAINBOW HELPING HANDS INC
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1316497209
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/16/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
220 E HORIZON DR STE H
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HENDERSON
Provider Business Mailing Address State Name:
NV
Provider Business Mailing Address Postal Code:
89015-8001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
702-469-4892
Provider Business Mailing Address Fax Number:
702-476-4476

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
957 HIGH PLAINS DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HENDERSON
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89002-9582
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-469-4892
Provider Business Practice Location Address Fax Number:
702-476-4476
Provider Enumeration Date:
10/04/2016

Additional Information

Authorized Official

Authorized Official Last Name:
STUMPF
Authorized Official First Name:
JONI
Authorized Official Middle Name:
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
702-577-5977

Provider Taxonomy Codes

  • Taxonomy code: 174400000X , with the licence number:  NV20131214781 , registered in the state of NV ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 251S00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 324500000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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