Provider Demographics
NPI:1063956654
Name:RAINBOW HOMES NON-PROFIT HOUSING CORPORATION
Entity type:Organization
Organization Name:RAINBOW HOMES NON-PROFIT HOUSING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:517-699-8454
Mailing Address - Street 1:2111 ADELPHA AVE
Mailing Address - Street 2:
Mailing Address - City:HOLT
Mailing Address - State:MI
Mailing Address - Zip Code:48842-1117
Mailing Address - Country:US
Mailing Address - Phone:517-699-8454
Mailing Address - Fax:517-906-6120
Practice Address - Street 1:2111 ADELPHA AVE
Practice Address - Street 2:
Practice Address - City:HOLT
Practice Address - State:MI
Practice Address - Zip Code:48842-1117
Practice Address - Country:US
Practice Address - Phone:517-699-8454
Practice Address - Fax:517-906-6120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-15
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No251E00000XAgenciesHome Health
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child