BRAINCARE, LLC (NPI# 1760833131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760833131 |
| Entity Type | Organization |
| Organization Name | BRAINCARE, LLC |
| Other Organization Name | GLOBAL NEURO-DIAGNOSTICS |
| Practice Address |
1715 Indian Wood Cir Ste 200 (unit # 268) Maumee OH 43537-4055 |
| Mailing Address |
2670 Firewheel Dr Ste B Flower Mound TX 75028-4601 |
| Practice Telephone | 8668482522 |
| Mailing Telephone | 8668482522 |
| Mailing Fax Number | 8772901544 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Authorized Official Name | JANICE SHOCK (SR DIRECTOR OF OPERATOINS) |
| 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 |
| 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 |
| Street Address |
1715 INDIAN WOOD CIR STE 200 (UNIT # 268) |
| City | MAUMEE |
| State | OH |
| Zip Code | 43537-4055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700812443 | Patricia Ann Smethurst | Family Medicine | 1715 Indian Wood Cir, Ste 200, Office 266 & 255, Maumee, OH 43537-4055 | 2006-06-24 |
| 1447875679 | Henya Grossman | Psychologist | 1715 Indian Wood Cir, Maumee, OH 43537-4055 | 2020-06-12 |
| 1659710770 | Chaitanya Sikharam | Family Medicine | 1715 Indian Wood Cir, Maumee, OH 43537 | 2013-06-21 |
| 1356694780 | Catherine Womack | Nurse Practitioner | 1715 Indian Wood Cir, Suite 200, Office 266 & 255, Maumee, OH 43537-4055 | 2012-10-23 |
| 1538387451 | Jennifer B Smirnoff | Counselor | 1715 Indian Wood Cir, Suite 200, Maumee, OH 43537-4055 | 2007-04-23 |
| 1770679565 | Christine Dawn Rakesmith | Nurse Practitioner | 1715 Indian Wood Cir, Suite 200 Office 265 and 266, Maumee, OH 43537-4055 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245884709 | Mary Walasinski | Behavior Technician | 1900 Indian Wood Circle Suite 100, Maumee, OH 43537 | 2019-08-01 |
| 1912483314 | Integrated Restorative Solutions LLC | Pain Medicine | 2718 River Rd, Maumee, OH 43537 | 2018-07-18 |
| 1326533373 | Michelle Lei Sandwisch | Nurse Practitioner | 7140 Maumee Western Road, Maumee, OH 43537 | 2018-06-22 |
| 1669978201 | Bradley D Walker | Case Manager/Care Coordinator | 1600 Michigan Ave, Maumee, OH 43537 | 2018-04-03 |
| 1841792306 | Stephen Flory | Specialist/Technologist | 2584 S Detroit Ave, Maumee, OH 43537 | 2018-03-01 |
| 1851841787 | Michelle Laver | Social Worker | 7320 Sh 108, Wauseon, OH 43537 | 2016-10-04 |
| 1083070288 | Friends Who Care | Home Health | 2749 Pine Trace Dr, Maumee, OH 43537 | 2016-01-05 |
| 1386025203 | Unique Health Care Solutions, LLC | Home Health | 3430 Briarfield Blvd, Maumee, OH 43537 | 2015-06-16 |
| 1104239698 | Jill Saul | Dietitian, Registered | 5871 Monclova Rd., Maumee, OH 43537 | 2014-06-03 |
| 1922438910 | Kristen Junga | Counselor | 1627 Henthorne Dr Ste E, Maumee, OH 43537 | 2013-11-12 |
| Find all providers in zip 43537 | ||||
| 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 |
|---|---|---|---|---|
| 1912356726 | Ordinary24, LLC | Physiological Laboratory | 4301 Darrow Rd, Suite 4400a, Stow, OH 44224-2694 | 2016-06-13 |
| 1508239161 | Mccullough Hyde Memorial Hospital Inc | Physiological Laboratory | 79 W Central Ave Ste 2, Camden, OH 45311-1007 | 2015-11-04 |
| 1689077125 | Self-employed | Physiological Laboratory | 95b Barley Dr, Painesville, OH 44077-5349 | 2014-09-29 |
| 1689000580 | American Mobile X-ray, LLC | Physiological Laboratory | 6802 Menz Ln, Cincinnati, OH 45233-4311 | 2013-09-24 |
| 1669731865 | Zin Medical Inc | Physiological Laboratory | 10000 Cedar Ave, Suite 2-131 Mail Stop #17, Cleveland, OH 44106-2103 | 2012-05-08 |
| 1013140524 | The Cos Companies | Physiological Laboratory | 820 S North St, Washington Court House, OH 43160-2262 | 2009-08-31 |
| 1285808071 | Specialized Pulse Oximetry Testing Service, LLC | Physiological Laboratory | 1436 Yankee Park Pl # K, Dayton, OH 45458-1899 | 2008-04-14 |
| 1831303551 | Trendy Oximetry Ltd | Physiological Laboratory | 6048l W Central Ave, Toledo, OH 43615-1872 | 2007-05-10 |
| 1063539062 | Neumed | Physiological Laboratory | 9906 Norwalk Rd, Litchfield, OH 44253-9502 | 2007-03-23 |
| 1316075179 | King's Medical Imaging At Watermark, LLC | Physiological Laboratory | 5339 Hendron Rd, Groveport, OH 43125-1055 | 2007-03-01 |
| Find all providers with the same taxonomy | ||||
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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.