Breakthrough Outbreaking Outreach Ministry
LBN: Breakthrough Outbreaking Outreach Ministry
Breakthrough Outbreaking Outreach Ministry is an health care organization with primary practice located at 7653 Branchwood Cir , Fayetteville NC 28314-5801. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Meals, Other Service Providers / Peer Specialist, Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / Voluntary or Charitable. Other Service Providers / Peer Specialist is the primary health care specialty.
Breakthrough Outbreaking Outreach Ministry can be contacted via phone (910) 748-6991, or through Elliott, Aldarris via phone (910) 748-6991.
Contact Information
Primary practice address
7653 Branchwood Cir
Fayetteville NC 28314-5801
Phone: (910) 748-6991
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Meals | 174200000X | ||
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Agencies / Day Training, Developmentally Disabled Services | 251C00000X | ||
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Agencies / Voluntary or Charitable | 251V00000X |
Profile Details
| NPI number | 1134712417 |
|---|---|
| LBN Legal business name | Breakthrough Outbreaking Outreach Ministry |
| DBA Doing business as | |
| Authorized official | Elliott, Aldarris |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 17th, 2021 |
| Last updated | Feb 22nd, 2021 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134712417 | NPPES |
| North Carolina | MEDICAID | NA |
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