Provider Demographics
NPI:1154641777
Name:RAINBOW HIMES INC
Entity type:Organization
Organization Name:RAINBOW HIMES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GREINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-392-9203
Mailing Address - Street 1:762 COPPERHEAD CIR
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32092-2750
Mailing Address - Country:US
Mailing Address - Phone:904-392-9203
Mailing Address - Fax:904-940-5825
Practice Address - Street 1:762 COPPERHEAD CIR
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32092-2750
Practice Address - Country:US
Practice Address - Phone:904-392-9203
Practice Address - Fax:904-940-5825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-05
Last Update Date:2010-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4800648251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable