RAINBOW OF SUNSHINE II NPI 1306999693

NPI Information

NPI: 1306999693
Provider Name: RAINBOW OF SUNSHINE II
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization

CLIA Number: 34D2082939

Address:
307 CEDARWOOD ST
SPRING LAKE, NC
ZIP 28390
Phone: (910) 527-3083
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RAINBOW OF SUNSHINE II is a community based residential treatment facility, intellectual and/or developmental disabilities in Spring Lake, NC. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. RAINBOW OF SUNSHINE II NPI is 1306999693. The provider is registered as an organization entity type.

The provider's business location address is:

307 CEDARWOOD ST
SPRING LAKE, NC
ZIP 28390-254
Phone: (910) 527-3083
Fax: (910) 868-3788

The provider's authorized official is Tara Ingram .
The authorized official title is Owner and has the following contact phone number (910) 527-3083.

The CLIA number assigned to this NPI record is 34D2082939 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2007 and was last updated on 2/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities		MHL026812	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3418146	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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