NPIMap

Organization Active NPI

Braincare LLC

  • Assisted Living Facility
  • Pueblo West, CO
National Provider Identifier
1902493380
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRAINCARE LLC
Practice address
972 S Purcell Blvd
Pueblo West, CO 81007-5097
Phone
(719) 217-8850
NPI assigned
Dec 31, 2020
Organization subpart
Yes
Parent organization
BRAINCARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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

Authorized official

Name
Mrs. Linda Annette Draayers
Title
Executive Director
Phone
(719) 217-8850

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

972 S Purcell Blvd
Pueblo West, CO 81007-5097

Mailing address

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

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": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1902493380",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "972 S PURCELL BLVD",
            "city": "PUEBLO WEST",
            "state": "CO",
            "postal_code": "810075097",
            "telephone_number": "719-217-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRAINCARE LLC",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "DRAAYERS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "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": []
}

Other providers in Pueblo West, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.