NPIMap

Organization Active NPI

Braincare LLC

  • Assisted Living Facility
  • Colorado Springs, CO
National Provider Identifier
1336782168
Registry record updated Oct 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRAINCARE LLC
Practice address
2535 Brady Dr.
Colorado Springs, CO 80917-4020
Phone
(719) 217-8850
NPI assigned
Oct 24, 2019
Organization subpart
Yes
Parent organization
BRAINCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Linda Annette Draayers
Title
Director of Braincare LLC
Phone
(719) 217-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2535 Brady Dr.
Colorado Springs, CO 80917-4020

Mailing address

6243 Soaring Dr
Colorado Springs, CO 80918-6122
Phone (719) 217-8850

Other names 1

  • BrainCare LLC Spruce House Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
06D2231777Braincare, LLC - Spruce House2535 Brady Drive, Colorado Springs, CO 80917Certificate of waiverAug 4, 2027

National Provider Directory

National Provider Directory
Tax ID family
Braincare LLC7 organizations share this tax ID, including this one
Part of
Braincare LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571875200000",
    "number": "1336782168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6243 SOARING DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809186122",
            "telephone_number": "719-217-8850",
            "fax_number": "719-574-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2535 BRADY DR.",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809174020",
            "telephone_number": "719-217-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAINCARE LLC",
        "enumeration_date": "2019-10-24",
        "last_updated": "2019-10-24",
        "status": "A",
        "authorized_official_last_name": "DRAAYERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "DIRECTOR OF BRAINCARE LLC",
        "authorized_official_telephone_number": "719-217-8850",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BrainCare LLC Spruce House",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.