BRAINCARE, LLC (NPI# 1982063921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982063921 |
| Entity Type | Organization |
| Organization Name | BRAINCARE, LLC |
| Other Organization Name | GLOBAL NEURO-DIAGNOSTICS |
| Practice Address |
6165 Nw 86th St Ste 130 Johnston IA 50131 |
| 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 | 2018-09-04 |
| 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 |
| 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 |
| 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 |
6165 NW 86TH ST STE 130 |
| City | JOHNSTON |
| State | IA |
| Zip Code | 50131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568011229 | Joseph Barnard | Technician | 6406 Theresa Dr, Johnston, IA 50131 | 2019-09-05 |
| 1073098208 | Heather Nicole Prettyman | Social Worker | 5406 Marle Hay Rd., Johnston, IA 50131 | 2018-10-03 |
| 1982182606 | Dental Studio of Iowa PC | Dentist | 5495 Nw 100th Street, Johnston, IA 50131 | 2018-08-03 |
| 1104293570 | Sarah Michelle Fees | Nurse Practitioner | 8605 Chambery Blvd, Johnston, IA 50131 | 2015-09-01 |
| 1013329978 | Jonathan Jeffrey Karch | Dentist | 5495 Nw 100th St, Johnston, IA 50131 | 2014-05-27 |
| 1053757500 | Patricia L Hart | Social Worker | 6061 Bradford Ln, Johnston, IA 50131 | 2013-05-10 |
| 1205105855 | Lesile Jane Mentele | Pharmacist | 6100 Nw 97th St, Johnston, IA 50131 | 2011-12-27 |
| 1750610812 | Amanda J Moore | Chiropractor | 8671 Northpark Ct, Johnston, IA 50131 | 2009-12-18 |
| 1225293426 | Center for Maximized Living, LLC | Chiropractor | 8671 Northpark Ct., Johnston, IA 50131 | 2008-07-28 |
| 1730380361 | Wesley Community Services, Inc. | Hospice Care, Community Based | 5508 Nw 88th Street, Johnston, IA 50131 | 2007-05-30 |
| Find all providers in zip 50131 | ||||
| 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 |
|---|---|---|---|---|
| 1306096391 | Navix Diagnsotix, Inc. | Physiological Laboratory | 1524 Atwood Ave, Ll2 Ste 244, Johnston, RI 02919-3228 | 2008-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639727662 | Idx Technologies Inc. | Physiological Laboratory | 2300 Oakdale Blvd, Coralville, IA 52241-9702 | 2019-09-03 |
| 1992784185 | Midwest Sleep Services, Inc. | Physiological Laboratory | 527 Park Ln, Suite 400, Waterloo, IA 50702-5236 | 2006-01-16 |
| 1770927808 | Btx Iowa Inc | Physiological Laboratory | 3160 8th St Sw Ste C, Altoona, IA 50009-1023 | 2013-04-19 |
| 1982654281 | Diagnostic Health Corporation | Physiological Laboratory | 2600 Grand Ave, Suite 140, Des Moines, IA 50312-5375 | 2006-05-10 |
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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.