MEDICARE: RAINMAKER HEALTH SOLUTIONS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1902477888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RAINMAKER HEALTH SOLUTIONS INC

Provider Business Mailing Address
First Line	:	528 EGRET PLACE DR
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-1709
Country	:	US
Telephone Number	:	407-595-7038
Fax Number	:

Provider Business Practice Location Address
First Line	:	5742 HAMLIN GROVES TRL
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-5782
Country	:	US
Telephone Number	:	407-595-7038
Fax Number	:

Authorized Official
Title or Position	:	LICENSED OWNER
Name	:	KIM Y DAWSON
Credential	:
Telephone Number	:	407-595-7038

Provider Enumeration Date	:	07/01/2021
Last Update Date	:	07/01/2021

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