Healthcare Provider Details

I. General information

NPI: 1316497209
Provider Name (Legal Business Name): RAINBOW HELPING HANDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2016
Last Update Date: 08/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

957 HIGH PLAINS DR
HENDERSON NV
89002-9582
US

IV. Provider business mailing address

220 E HORIZON DR STE H
HENDERSON NV
89015-8001
US

V. Phone/Fax

Practice location:
  • Phone: 702-469-4892
  • Fax: 702-476-4476
Mailing address:
  • Phone: 702-469-4892
  • Fax: 702-476-4476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberNV20131214781
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JONI STUMPF
Title or Position: CEO
Credential:
Phone: 702-577-5977