BRAINCARE, LLC (NPI# 1639538671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639538671 |
| Entity Type | Organization |
| Organization Name | BRAINCARE, LLC |
| Other Organization Name | GLOBAL NEURO-DIAGNOSTICS |
| Practice Address |
1299 Farnam St Ste 312 Omaha NE 68102-1880 |
| 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 | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | JANICE SHOCK (SR DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8668482522 |
| Authorized Official Credential | MBA, R.EEGT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| Other Name | Type Code |
|---|---|
| Global Neuro-Diagnostics | Doing Business As Name - Organization |
| 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 |
| 1316398787 | Braincare, LLC | Physiological Laboratory | 12301 Lake Underhill Rd Ste 201, Orlando, FL 32828-4511 | 2016-06-28 |
| 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 |
| 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 |
| Alabama Business Registrations | Braincare, LLC | 420 20th Street North Ste 2256, Birmingham, AL 35203 |
| Street Address |
1299 FARNAM ST STE 312 |
| City | OMAHA |
| State | NE |
| Zip Code | 68102-1880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134241409 | Steven Paul Boman | Marriage & Family Therapist | 1299 Farnam St, 300, Omaha, NE 68102-1880 | 2007-04-06 |
| 1114524204 | Teri Harris | Behavior Technician | 1299 Farnam St, Omaha, NE 68102-1880 | 2020-10-02 |
| 1265943088 | Tianna Marie Hermandson | Registered Nurse | 1299 Farnam St, Omaha, NE 68102-1880 | 2017-10-19 |
| 1255866539 | Dignity Care Group, Inc. | Home Health | 1299 Farnam St, Suite 300, Omaha, NE 68102-1880 | 2017-04-25 |
| 1356892764 | Steven Boman, Ma, Lmhp, Cmft | Marriage & Family Therapist | 1299 Farnam St, Omaha, NE 68102-1880 | 2016-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518580042 | Niranzena Panneer Selvam | Dentist | 2109 Cuming Street, Omaha, NE 68102 | 2020-05-19 |
| 1912312323 | Stephani Jo Dale | Dentist | 2901 Cuming Street, Omaha, NE 68102 | 2014-06-24 |
| 1578736864 | Nebraska Urban Indian Health Coalition | Community/Behavioral Health | 2240 Landon Court, Omaha, NE 68102 | 2008-04-08 |
| 1609939826 | Alana Louayne Decker | Registered Nurse | 1490 No 16th St, Omaha, NE 68102 | 2006-12-18 |
| 1831203645 | Nicholas Joseph Battafarano | Psychiatry & Neurology | 1490 N 16th St, Omaha, NE 68102 | 2006-08-18 |
| 1831198902 | Lori Ann Buckley | Occupational Therapist | 1219 Leavenworth St, Omaha, NE 68102 | 2005-07-20 |
| 1760019129 | Catherine Nicole Cloetta | Student in an Organized Health Care Education/Training Program | Creighton University School of Dentistry, 2109 Cuming St., Omaha, NE 68102 | 2020-03-25 |
| 1841793189 | Molly Ann Trevathan | Specialist/Technologist | 701 Florence Blvd, Omaha, NE 68102 | 2018-03-13 |
| 1265942106 | Ashlyn Madden Eisenbrown | Acupuncturist | 1219 Leavenworth St, Omaha, NE 68102 | 2017-10-05 |
| 1417342676 | Natural Therapy LLC | Home Health | 1219 Leavenworth St, Omaha, NE 68102 | 2015-04-03 |
| Find all providers in zip 68102 | ||||
| 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 |
|---|---|---|---|---|
| 1942617071 | Vitalistics, LLC | Physiological Laboratory | 222 S 15th St # 1005n, Omaha, NE 68102-1680 | 2014-07-21 |
| 1417950239 | Nebraska Health Imaging LLC | Physiological Laboratory | 7819 Dodge St, Omaha, NE 68114-3411 | 2005-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285248666 | Dorman LLC | Physiological Laboratory | 3500 Central Ave Ste A, Kearney, NE 68847-2963 | 2020-09-03 |
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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.