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:
Map and Directions
Authorized official contact:
Name: Elliott, Aldarris
Phone: (910) 748-6991

Health care specialties

SpecialtyCodeLicense #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 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134712417 NPPES
North Carolina MEDICAID NA

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