Provider Demographics
NPI:1588722086
Name:RAINBOW ABILITIES CENTER, INC.
Entity type:Organization
Organization Name:RAINBOW ABILITIES CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORI
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHAEDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-583-4235
Mailing Address - Street 1:219 N CHRISTINA ST
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:MO
Mailing Address - Zip Code:63084-1305
Mailing Address - Country:US
Mailing Address - Phone:636-583-4235
Mailing Address - Fax:636-584-0141
Practice Address - Street 1:219 N CHRISTINA ST
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084-1305
Practice Address - Country:US
Practice Address - Phone:636-583-4235
Practice Address - Fax:636-584-0141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO1401-9485251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO852757707Medicaid