- Enrollment id
- O20141206000377
- Enrollment state
- KY
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1215359062
- Multiple npi flag
- N
- Ccn
- 187188
- Associate id
- 1759603582
- Organization name
- RAINBOW LLC
- Doing business as name
- RAINBOW HOME HEALTH
- Incorporation date
- 2012-08-27
- Incorporation state
- KY
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1027 US 31W BYP
- City
- BOWLING GREEN
- State
- KY
- Zip code
- 421012417