Provider Demographics
NPI:1114031275
Name:RAINBOW OF CHALLENGES, INC.
Entity type:Organization
Organization Name:RAINBOW OF CHALLENGES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-777-4501
Mailing Address - Street 1:PO BOX 1540
Mailing Address - Street 2:
Mailing Address - City:HOPE
Mailing Address - State:AR
Mailing Address - Zip Code:71802-1540
Mailing Address - Country:US
Mailing Address - Phone:870-777-4501
Mailing Address - Fax:870-777-8618
Practice Address - Street 1:500 S MAIN ST
Practice Address - Street 2:
Practice Address - City:HOPE
Practice Address - State:AR
Practice Address - Zip Code:71801-5206
Practice Address - Country:US
Practice Address - Phone:870-777-4501
Practice Address - Fax:870-777-8618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QD1600X
ARN/A251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR116623742Medicaid
AR121168765Medicaid
AR129598774Medicaid
AR132517786Medicaid
AR130718782Medicaid
AR142989724Medicaid
AR118375763Medicaid
AR145902778Medicaid
AR150891724Medicaid
AR161896724Medicaid
AR102619724Medicaid
AR121088732Medicaid
AR125876767Medicaid
AR118120715Medicaid
AR126116771Medicaid
AR126117772Medicaid
AR126118775Medicaid