BREAKTHROUGH (NPI# 1205446044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205446044 |
| Entity Type | Organization |
| Organization Name | BREAKTHROUGH |
| Practice Address |
2147 University Ave W Saint Paul MN 55114-1313 |
| Practice Telephone | 6513406795 |
| Practice Fax Number | 6512023166 |
| Mailing Telephone | 6513406795 |
| Mailing Fax Number | 6512023166 |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-08-06 |
| Authorized Official Name | SUKIMO D KNIGHT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6122018111 |
| Authorized Official Credential | LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Breakthrough | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629254222 | Breakthrough | Health Maintenance Organization | 6 Consultant Pl # 100, Durham, NC 27707-3598 | 2008-01-14 |
| 1265637904 | Breakthrough | Case Management | 6 Consultant Pl, Suite 100, Durham, NC 27707-3598 | 2007-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | BREAKTHROUGH | 1010 N Main St, Wichita, KS 67203-3609 |
| New York State Corporations | BREAKTHROUGH / BT MEDIA INC. | 320 West 37th Street, Ground Floor, New York, Ny 10018 |
| Connecticut Business Registrations | Breakthrough Academy, Inc. | 9 Roger Williams Road, Bridgeport, CT 06610 |
| Colorado Business Entities | Breakthrough Acupuncture, LLC | 2816 S Bryant St, Denver, CO 80236 |
| New York State Corporations | BREAKTHROUGH ADVISORY GROUP LLC | 350 Salinger Court, Morganville, Nj 07751 |
| Oregon Corporations, Companies and Business Names | BREAKTHROUGH ADVOCACY | 7414 Sw Miles Pl, Portland, OR 97219 |
| New York State Corporations | BREAKTHROUGH AFRICAN MARKET LLC | 44 Wolfert Avenue, Albany, Ny 12204 |
| New York State Corporations | BREAKTHROUGH AND MILESTONES PRODUCTIONS INTERNATIONAL, INC. | 7316 184th Street, Fresh Meadows, Ny 11366 |
| Virginia Business Entities | Breakthrough Art Organization | 650 Walker Road, Great Falls, Virginia 22066 |
| Washington State Corporations | BREAKTHROUGH BASKETBALL LLC | 1013 Forest Rd, Springville, IA 52336-4715 |
| Street Address |
2147 UNIVERSITY AVE W |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55114-1313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205962024 | Morning Star Home Health Care Services Inc | Home Health | 2147 University Ave W, Suite 206, Saint Paul, MN 55114-1313 | 2007-02-26 |
| 1164695466 | Humane Home Care Services Inc. | Home Health | 2147 University Ave W, Suite Number 109, Saint Paul, MN 55114-1313 | 2008-04-08 |
| 1467636084 | Care for Me Nursing Services Inc | Nursing Care | 2147 University Ave W, Suite 211, Saint Paul, MN 55114-1313 | 2007-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790205698 | Der Yang | Registered Nurse | 2356 University Ave W #220, Saint Paul, MN 55114 | 2017-06-21 |
| 1679949358 | Mallory Haglund | Counselor | 284 West Rocky Lane, Boulder, NV 55114 | 2015-08-17 |
| 1083090880 | Kayla Estenson | Marriage & Family Therapist | 2324 University Ave West, 120, St. Paul, MN 55114 | 2015-08-04 |
| 1184023772 | Preetanjali Thakur | Dentist | 2550 University Avenue West Suite 189s, St Paul, MN 55114 | 2014-08-19 |
| 1023426210 | Melanie Bayer Witthoft | Social Worker | 762 Transfer Road, 21, St. Paul, MN 55114 | 2014-07-31 |
| 1184046518 | Britni Kelley | Marriage & Family Therapist | 821 Raymond Ave Ste 325, Saint Paul, MN 55114 | 2014-01-21 |
| 1205257581 | Arti Kaul | Dentist | 808 Berry St, Apy 126, St Paul, MN 55114 | 2014-01-03 |
| 1588907109 | Jesus M Calvillo | Counselor | 821 Raymond Ave Ste 230, Saint Paul, MN 55114 | 2013-04-02 |
| 1154669414 | Caringhands Home Health Care Inc. | Home Health | 2233 University Ave West, Suite 330, St Paul, MN 55114 | 2013-01-22 |
| 1396021424 | The Avalon Charter School | Local Education Agency (LEA) | 700 Glendale Street, Saint Paul, MN 55114 | 2011-11-03 |
| Find all providers in zip 55114 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285095778 | Wild River Services | Clinic/Center | 1246 University Ave W Ste 101, Saint Paul, MN 55104-4125 | 2016-03-11 |
| 1639798101 | American Indian Family Center | Clinic/Center | 579 Wells St, Saint Paul, MN 55130-4134 | 2020-04-14 |
| 1104309434 | Roots Recovery | Clinic/Center | 393 Dunlap St N Ste 736, Saint Paul, MN 55104-4205 | 2018-09-12 |
| 1730696857 | Brenda A Nelson | Clinic/Center | 220 Robert St S Ste 104, Saint Paul, MN 55107-1626 | 2018-01-10 |
| 1821504937 | New Way Treatment Center LLC | Clinic/Center | 220 Robert St S Ste 104, Saint Paul, MN 55107-1626 | 2017-12-27 |
| 1033655329 | Elite Recovery | Clinic/Center | 1145 Grand Ave, Saint Paul, MN 55105-2629 | 2017-01-11 |
| 1891152039 | Nurturing House, LLC | Clinic/Center | 540 Fairview Ave N Ste 303, Saint Paul, MN 55104-1796 | 2016-01-19 |
| 1164737326 | Community Addiction Recovery Enterprise- | Clinic/Center | 444 Lafayette Rd N, Saint Paul, MN 55155-3802 | 2010-08-12 |
| 1801003090 | Conceptual Counseling, Inc. | Clinic/Center | 287 6th St E, Ste 300, Saint Paul, MN 55101-1654 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093340036 | Humble Recovery | Clinic/Center | 1156 Aldrich Ave N, Minneapolis, MN 55411-4248 | 2020-03-10 |
| 1366096307 | Centered On Youth | Clinic/Center | 3210 Oliver Ave N, Minneapolis, MN 55412-2316 | 2019-07-29 |
| 1881250785 | Adap Consulting | Clinic/Center | 1605 Southcross Dr W Ste B, Burnsville, MN 55306-7013 | 2019-05-15 |
| 1821550005 | Coscarelli Consulting, LLC | Clinic/Center | 1687 Woodlane Dr Ste 2002, Woodbury, MN 55125-3063 | 2019-04-04 |
| 1669943908 | Capital Health Services LLC | Clinic/Center | 680 Mendelssohn Ave N, Golden Valley, MN 55427-4306 | 2018-12-16 |
| 1013497916 | Thrive Behavioral Network Iv, LLC | Clinic/Center | 119 Friberg Ave, Suite B, Fergus Falls, MN 56537-2251 | 2018-08-20 |
| 1780186130 | Alliance Wellness Clinic Inc. | Clinic/Center | 8040 Old Cedar Ave. S. Ste. 100, Bloomington, MN 55425-1211 | 2018-03-01 |
| 1447795596 | Conceptual Counseling & Assessment | Clinic/Center | 151 W Burnsville Pkwy Ste 101, Burnsville, MN 55337-2525 | 2016-12-28 |
| 1871035568 | No Other Way (now) Recovery Services LLC | Clinic/Center | 1614 W 3rd St, Red Wing, MN 55066-2086 | 2016-11-11 |
| 1104374073 | Lakes Opioid Treatment Program, Inc | Clinic/Center | 8381 Lake Land Trl Nw, Walker, MN 56484-2109 | 2016-09-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT PAUL |
| Zip Code | 55114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.