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RAINBOW 66 STOREHOUSE INC.
NPI 1871823500
Technician - Personal Care Attendant in Laurinburg, NC

Active since December 31, 2009CLIA 34D2068863 · Waiver
1225 S CALEDONIA RD, LAURINBURG, NC 28352(910) 361-4398(910) 361-4510 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 25, 2022, Jan 9, 2017 (2 updates tracked since 2017).

About Rainbow 66 Storehouse Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAINBOW 66 STOREHOUSE INC. (NPI 1871823500) is a healthcare organization registered as a personal care attendant in Laurinburg, North Carolina and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through November 12, 2027 and lists Kimmie Johnson, President, as its authorized official.

NPPES Registry Identity

NPI1871823500
Entity TypeOrganization
Primary Taxonomy3747P1801X
Legal Business NameRAINBOW 66 STOREHOUSE INC.
Location Address1225 S CALEDONIA RDLaurinburg, NC 28352-4849
Mailing Address1225 S Caledonia RdLaurinburg, NC 28352-4849 · (910) 361-4398 · Fax (910) 361-4510
Phone(910) 361-4398
Fax(910) 361-4510
Organization SubpartNo
Authorized OfficialKimmie JohnsonPresident · (910) 361-4398
Enumeration DateDecember 31, 2009
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 25, 2022
✔ NPI 1871823500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyTechnician · Personal Care AttendantNursing Service Related Providers
Taxonomy Code3747P1801X
License✔ Licensed in NC · HC2475
Definition
An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards
1225 S CALEDONIA RD, Laurinburg, NC 28352
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Other Identifiers 4

Medicaid3418378NC
Medicaid3409455NC
Medicaid6601037NC
Medicaid8302212NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2068863

Rainbow 66 Storehouse · Laurinburg, NC
Active · expires Nov 12, 2027
CLIA Number34D2068863
Laboratory TypeResidential
Certificate Effective DateNovember 13, 2025
Certificate Expiration DateNovember 12, 2027
Laboratory DirectorKimmie Johnson
Laboratory Phone(910) 361-4398
Laboratory LocationRainbow 66 Storehouse1225 South Caledonia Rd, Laurinburg, NC 28352
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAINBOW 66 STOREHOUSE INC.
In Home Supportive Care
1225 S CALEDONIA RD
LAURINBURG, NC 28352
Scotland County (910) 361-4398

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rainbow 66 Storehouse Inc.'s NPI number?

The NPI number for Rainbow 66 Storehouse Inc. is 1871823500. It was assigned to this organization in the NPPES registry on December 31, 2009.

Where is Rainbow 66 Storehouse Inc. located?

Rainbow 66 Storehouse Inc. is located at 1225 S Caledonia Rd, Laurinburg, NC 28352. The listed phone number is (910) 361-4398.

What is Rainbow 66 Storehouse Inc.'s specialty?

The primary specialty registered for this NPI is Technician, specializing in Personal Care Attendant, with taxonomy code 3747P1801X.

Does Rainbow 66 Storehouse Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2068863) is associated with this NPI, valid through November 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Rainbow 66 Storehouse Inc. was last updated on August 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.