1932515038 NPI number — OVER THE RAINBOW, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932515038 NPI number — OVER THE RAINBOW, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
OVER THE RAINBOW, 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:
Provider Other Organization Name Type Code:
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:
1932515038
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/25/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
130 WINDSOR DR. OVER THE RAINBOW, INC.
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CORTLAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44410
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-638-9599
Provider Business Mailing Address Fax Number:
330-638-9575

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
130 WINDSOR DR.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CORTLAND
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-638-9599
Provider Business Practice Location Address Fax Number:
330-638-9575
Provider Enumeration Date:
07/09/2014

Additional Information

Authorized Official

Authorized Official Last Name:
FYE
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
JEAN
Authorized Official Title or Position:
PRESIDENT/OWNER/OPERATOR
Authorized Official Telephone Number:
330-638-9599

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 2043041 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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