Breakaway Health Corporation

LBN: Breakaway Health Corporation
Breakaway Health Corporation is an health care organization with primary practice located at 3151 Airway Ave D-1, Costa Mesa CA 92626-4607. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) is the primary health care specialty. Breakaway Health Corporation can be contacted via phone (714) 957-8229, or through Plaskett, Hannah via phone (714) 957-8229.

Contact Information

Primary practice address
3151 Airway Ave D-1 Costa Mesa CA 92626-4607
Phone: (714) 957-8229
Fax: (714) 957-0244
Website:
Map and Directions
Authorized official contact:
Name: Plaskett, Hannah
Phone: (714) 957-8229

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 300065A California
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X

Profile Details

NPI number 1851474225
LBN Legal business name Breakaway Health Corporation
DBA Doing business as
Authorized official Plaskett, Hannah
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2006
Last updated May 31st, 2024 - about 6 months 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.

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