BRAINCARE, LLC (NPI# 1316398787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316398787 |
| Entity Type | Organization |
| Organization Name | BRAINCARE, LLC |
| Practice Address |
12301 Lake Underhill Rd Ste 201 Orlando FL 32828-4511 |
| Mailing Address |
2670 Firewheel Dr Ste B Flower Mound TX 75028-4601 |
| Practice Telephone | 8668482522 |
| Practice Fax Number | 8772901544 |
| Mailing Telephone | 8668482522 |
| Mailing Fax Number | 8772901544 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2018-03-29 |
| Authorized Official Name | JANICE SHOCK (SR DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8668482522 |
| Authorized Official Credential | R.EEGT / MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598209538 | Braincare, LLC | Physiological Laboratory | 2355 Highway 36 W, Ste 400, Roseville, MN 55113-3902 | 2016-12-09 |
| 1700329828 | Braincare, LLC | Physiological Laboratory | 19909 120th Ave Ne Ste 203, Bothell, WA 98011-8242 | 2016-11-21 |
| 1982063921 | Braincare, LLC | Physiological Laboratory | 6165 Nw 86th St Ste 130, Johnston, IA 50131 | 2016-02-18 |
| 1255798815 | Braincare, LLC | Physiological Laboratory | S75w17311 Janesville Rd, Muskego, WI 53150-9376 | 2016-01-26 |
| 1184099046 | Braincare, LLC | Physiological Laboratory | 1320 Main St Ste 347, Columbia, SC 29201-3204 | 2015-12-03 |
| 1457725889 | Braincare, LLC | Physiological Laboratory | 401 N Tryon St, Ste 1120, Charlotte, NC 28202-2196 | 2015-11-23 |
| 1538532874 | Braincare, LLC | Physiological Laboratory | 1 Bio Logic Plz, Ste 1, Mundelein, IL 60060-3708 | 2015-11-09 |
| 1184026098 | Braincare, LLC | Physiological Laboratory | 303 N Stadium Blvd, Ste 249, Columbia, MO 65203-1493 | 2014-09-23 |
| 1457768715 | Braincare, LLC | Physiological Laboratory | 720 Corporate Cir, Ste A-6, Golden, CO 80401-5641 | 2014-07-18 |
| 1346784378 | Braincare, LLC | Physiological Laboratory | 7400 Beaufont Springs Dr, Ste 300 (unit 346), Richmond, VA 23225 | 2016-12-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Braincare, LLC | 6701 Koll Center Pkwy Ste 120, Pleasanton, CA 94566-8061 |
| Oregon Corporations, Companies and Business Names | BRAINCARE, LLC | 111 Sw Fifth Ave, Office 3142, Portland, OR 97204 |
| Iowa Business Entities | BRAINCARE, LLC | 2670 Firewheel Dr Ste. B, Flower Mound, TX 75028 |
| Washington State Corporations | BRAINCARE, LLC | 19909 120th Ave Ne, Ste 203, Bothell, WA 98011-8256 |
| Street Address |
12301 LAKE UNDERHILL RD STE 201 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32828-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578057501 | Antonia Mejia | Social Worker | 15260 Sugargrove Way, Orlando, FL 32828 | 2018-06-22 |
| 1871087692 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 3502 Avalon Park East Blvd, Orlando, FL 32828 | 2018-06-15 |
| 1386169738 | Ashley Nicole Wilkins | Specialist/Technologist | 2653 Wembleycross Way, Orlando, FL 32828 | 2017-08-07 |
| 1558812388 | Porta Nova Homemaker Companion Services, LLC | In Home Supportive Care | 515 Spring River Drive, Orlando, FL 32828 | 2016-10-17 |
| 1467908715 | Alexander Duque | Dentist | 785 N Alafaya Trail, Orlando, FL 32828 | 2016-08-28 |
| 1568819886 | Nicole Kircher | Behavioral Analyst | 757 Sterling Springs Rd, Orlando, FL 32828 | 2016-05-17 |
| 1477908556 | Sandra Maria Garcia | Speech-Language Pathologist | 4961 Atwood Dr, Orlando, FL 32828 | 2016-04-26 |
| 1821473380 | Sandra Ware | Physical Therapy Assistant | 498 Palm Springs Dr, Ste 345, Orlando, FL 32828 | 2015-07-27 |
| 1649674367 | Lisa M Keough | Occupational Therapist | 447 Bella Vida Blvd., Creative Speech Solutions & Therapy, Orlando, FL 32828 | 2014-10-09 |
| 1336549781 | Melissa Cossu | Developmental Therapist | 14428 Turning Leaf Dr, Orlando, FL 32828 | 2014-09-03 |
| Find all providers in zip 32828 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649528217 | Arterial Health of Fl, LLC | Physiological Laboratory | 618 E South St, Suite 500, Orlando, FL 32801-2986 | 2012-08-29 |
| 1043523061 | Orlando Epilepsy Center Inc | Physiological Laboratory | 2881 Delaney Ave Ste A&b, Orlando, FL 32806-5411 | 2010-07-19 |
| 1134312796 | Mobile In-balance Diagnostics, LLC | Physiological Laboratory | 4305 Vineland Rd, Ste G15, Orlando, FL 32811-7177 | 2007-08-27 |
| 1386746212 | Regional Mri of Orlando, Inc. | Physiological Laboratory | 5200 Davisson Ave Ste B, Orlando, FL 32810-5350 | 2006-09-01 |
| 1649384900 | Digital Diagnostic Imaging | Physiological Laboratory | 775 N Alafaya Trl, Orlando, FL 32828-7047 | 2006-08-17 |
| 1710961560 | Ultrasound Service Associates, Inc. | Physiological Laboratory | 2454 E Michigan Street, Suite 103, Orlando, FL 32806-5059 | 2005-12-05 |
| 1144608720 | Mpfr Imaging LLC | Physiological Laboratory | 1200 Edgewater Dr, Orlando, FL 32804-6314 | 2015-05-14 |
| 1518386333 | Epilepsy Monitoring Centers of America, LLC | Physiological Laboratory | 226 W Michigan St, Suite B, Orlando, FL 32806-4446 | 2014-04-09 |
| 1912930561 | Orlando Cardiovascular Center Lllp | Physiological Laboratory | 1405 S Orange Ave, Suite 120, Orlando, FL 32806-2154 | 2006-07-08 |
| 1154370666 | Diagnostic Health Corporation | Physiological Laboratory | 1405 S Orange Ave, Suite 500, Orlando, FL 32806-2154 | 2006-05-10 |
| Find all providers in ORLANDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.