RAINBOW 66 STOREHOUSE INC. (NPI# 1548494966) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548494966 |
| Entity Type | Organization |
| Organization Name | RAINBOW 66 STOREHOUSE INC. |
| Practice Address |
706 Rigsbee Ave Durham NC 27701-2139 |
| Mailing Address |
525 Atkinson St Laurinburg NC 28352-3715 |
| Practice Telephone | 9196860165 |
| Practice Fax Number | 9196860167 |
| Mailing Telephone | 9102760766 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2017-01-09 |
| Authorized Official Name | MRS. KIMMIE C. JOHNSON (ADMINISTRATOR) |
| Authorized Official Telephone | 9102760766 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
MHL-032-053 | NC | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3418378 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871823500 | Rainbow 66 Storehouse Inc. | Technician | 525 Atkinson St, Laurinburg, NC 28352-3715 | 2009-12-31 |
| 1952637878 | Rainbow 66 Storehouse Inc. | Technician | 525 Atkinson St, Laurinburg, NC 28352-3715 | 2009-10-28 |
| Street Address |
706 RIGSBEE AVE |
| City | DURHAM |
| State | NC |
| Zip Code | 27701-2139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952956179 | Sa'naa Lenoir | Naturopath | 1213 Avondale Drive Suite 4, Durham, NC 27701 | 2019-08-05 |
| 1225682792 | Sherifat Balogun | Pharmacist | 406 Rigsbee Ave Suite 201, Durham, NC 27701 | 2019-08-01 |
| 1427575950 | Kristen Kesler Desena | Speech-Language Pathologist | 1105 Englewood Avenue, Durham, NC 27701 | 2017-08-25 |
| 1295255263 | Tiffany Claire Ashe | Social Worker | 331 W Main St Ste 308, Durham, NC 27701 | 2017-06-21 |
| 1265815096 | Colleen Hamman | Specialist/Technologist | 616 E Lawson St, Durham, NC 27701 | 2015-06-29 |
| 1366843286 | Gene Mcphaul | Counselor | 3545 Mayfair St, Durham, NC 27701 | 2014-09-10 |
| 1245652957 | Michelle Annette Underdue | Social Worker | 801 East Main Street, Suite 2-120, Durham, NC 27701 | 2014-01-15 |
| 1518306109 | Lincicome Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300-a Northwood Circle, Durham, NC 27701 | 2013-06-18 |
| 1669754693 | Ruffin Home 2 | Assisted Living Facility | 830 N. Mangum St., Durham, NC 27701 | 2011-09-15 |
| 1609192657 | Samaritan Health Center, Inc. | Clinic/Center | 507 E. Knox Street, Durham, NC 27701 | 2010-04-15 |
| Find all providers in zip 27701 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356602890 | Shantel Denise Barber | Technician | 343 Kilarney Dr, Durham, NC 27703-3400 | 2012-05-31 |
| 1235284910 | Elliott & Elliott Enterprise,llp | Technician | 605 W Chapel Hill St, Durham, NC 27701-3110 | 2007-01-24 |
| 1255593190 | Healthcore Resource Inc | Technician | 3209 Guess Rd Ste 101, Durham, NC 27705-2692 | 2008-07-01 |
| 1447412382 | Healthcore Resource Inc | Technician | 3209 Guess Rd Ste 101, Durham, NC 27705-2692 | 2008-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992323299 | Natalie E King | Technician | 12718 Winding Ridge Rd, Huntersville, NC 28078-7108 | 2020-07-13 |
| 1366064412 | Freedom LLC | Technician | 27 1st Ave Ne Ste 205, Hickory, NC 28601-6219 | 2020-05-12 |
| 1508404120 | Annette Williams | Technician | 118 Gunn Poole Rd, Mebane, NC 27302-8476 | 2019-12-13 |
| 1811451891 | Jamie Flynn | Technician | 2476 Johnsontown Rd, Thomasville, NC 27360-7596 | 2019-01-24 |
| 1043783517 | Carol Ann Carrodus | Technician | 135 Brevard St, Winston Salem, NC 27101-2204 | 2019-01-08 |
| 1588146013 | Giselle Mumayamona Bwensa | Technician | 21 Hawthorne Ln, Youngsville, NC 27596-2083 | 2018-08-31 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1174027197 | Robin Kecia Mann | Technician | 5044 George Miles Road, Burlington, NC 27217 | 2018-03-23 |
| 1245756634 | Nykysha Bethea | Technician | 3002 Greystone Pt Apt H, Greensboro, NC 27410-8944 | 2017-08-17 |
| 1922464353 | Shavon Land | Technician | 1323 Spruce St, Charlotte, NC 28203-4670 | 2016-01-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.