RAINBOW SENIOR CARE HOME INC


Address: 4405 International Blvd Ste B101, Norcross, GA 30093-3013
Phone: 6785413404

RAINBOW SENIOR CARE HOME INC (NPI# 1720616386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720616386
Entity Type Organization
Organization Name RAINBOW SENIOR CARE HOME INC
Practice Address 4405 International Blvd Ste B101
Norcross
GA 30093-3013
Practice Telephone 6785413404
Enumeration Date 2020-03-30
Last Update Date 2020-03-30
Authorized Official Name JU HWAN LEE (OWNER)
Authorized Official Telephone 6785413404
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Rainbow Adult Day Care Center Doing Business As Name - Organization

Office Location

Street Address 4405 INTERNATIONAL BLVD STE B101
City NORCROSS
State GA
Zip Code 30093-3013

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1922456318 Diana Lleras Counselor 6020 Dawson Bld Suite I, Norcross, GA 30093 2016-05-26
1376941500 Katerine Velez Counselor 6020 Dawson Blvd., Siute I, Norcross, GA 30093 2014-12-22
1679979017 Allison Ballay Donnelly Speech-Language Pathologist 1626 Jeurgens Ct., Norcross, GA 30093 2014-11-12
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1023528932 First One Group, LLC Clinic/Center 6000 Live Oak Pkwy Ste 103, Norcross, GA 30093-1732 2017-10-05
1669874673 Ebenezer Healthcare Services, Inc. Clinic/Center 4405 International Blvd, Suite B101, Norcross, GA 30093-3019 2014-09-22
1427681816 Prudent Senior Services of Georgia Clinic/Center 4845 Jimmy Carter Blvd, Norcross, GA 30093-3641 2020-02-13
1205114717 Has Real Estae Inc. Clinic/Center 5675 Jimmy Carter Blvd, Suite 665-a, Norcross, GA 30071-2965 2011-08-01

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1609481506 Loving Hands Foundation Incorporated Clinic/Center 206 Union St, Lagrange, GA 30241-3343 2020-09-09
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1932733201 Perfect Care, Inc Clinic/Center 114 Sullivan Dr, Americus, GA 31709-5534 2020-02-26
1710524483 Norman Graham Clinic/Center 125 Marquis Dr, Fayetteville, GA 30214-1566 2019-12-02
1548802937 Serenity Adult Day Health, Inc Clinic/Center 95 Truman Rd, Hawkinsville, GA 31036-4643 2019-10-17
1134778749 Marietta Seniors Club LLC Clinic/Center 748 Lawrence St Ne, Marietta, GA 30060-2144 2019-09-06
1750936498 Sec of Georgia Corp Clinic/Center 5522 New Peachtree Rd Ste 128, Atlanta, GA 30341-2544 2019-08-08
1801354774 Tracie Chislom Clinic/Center 1002 W Solomon St, Griffin, GA 30223-2632 2019-03-08
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Competitor

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City NORCROSS
Zip Code 30093

Improve Information

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Dataset Information

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.

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