Provider Demographics
NPI:1699367797
Name:BRAINCARE LLC
Entity Type:Organization
Organization Name:BRAINCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:DRAAYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-217-8850
Mailing Address - Street 1:6243 SOARING DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6122
Mailing Address - Country:US
Mailing Address - Phone:719-217-8850
Mailing Address - Fax:
Practice Address - Street 1:3205 LESLIE DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1039
Practice Address - Country:US
Practice Address - Phone:719-217-8850
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRAINCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility