Provider Demographics
NPI:1992582555
Name:RS RAINBOW HOME ALF
Entity type:Organization
Organization Name:RS RAINBOW HOME ALF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-262-7386
Mailing Address - Street 1:2305 NE 192ND ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33180-2153
Mailing Address - Country:US
Mailing Address - Phone:786-262-7386
Mailing Address - Fax:305-503-7271
Practice Address - Street 1:1998 NE 178TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-2208
Practice Address - Country:US
Practice Address - Phone:786-262-7386
Practice Address - Fax:305-503-7271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-08
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility