Provider Demographics
NPI:1437402336
Name:RAINBOW ABILITIES CENTER, INC.
Entity type:Organization
Organization Name:RAINBOW ABILITIES CENTER, INC.
Other - Org Name:<UNAVAIL>
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 1:306 W HWY 50
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:MO
Practice Address - Zip Code:63084
Practice Address - Country:US
Practice Address - Phone:636-583-9939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RAINBOW ABILITIES CENTER, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-17
Last Update Date:2017-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOEC2-0458-0712320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO852757707Medicaid