Rainbow 66 Storehouse Inc., NPI 1871823500
Personal Care Attendant in Laurinburg, NC, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1871823500
NPI Entity Type Organization
Provider Name Rainbow 66 Storehouse Inc.
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1225 S Caledonia Rd, Laurinburg, NC, US
Provider Mailing Address 1225 S Caledonia Rd, Laurinburg, NC, US, 283524849
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MRS. Kimmie Johnson
Official Position PRESIDENT
Phone 910-361-4398

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

3747P1801X

Taxonomy Name Personal Care Attendant
Classification

Technician

Group

Nursing Service Related Providers

License No. HC2475
License State NC
Description 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

Business Address

Rainbow 66 Storehouse Inc.
1225 S Caledonia Rd

Laurinburg, NC, US

Phone: 910-361-4398
Fax: 910-361-4510

Mailing Address

Rainbow 66 Storehouse Inc.
1225 S Caledonia Rd
Laurinburg, NC, US
ZIP 283524849
Phone: 910-361-4398
Fax: 910-361-4510

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
3418378 NC MEDICAID 05
3409455 NC MEDICAID 05
6601037 NC MEDICAID 05
8302212 NC MEDICAID 05

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