Breakthru, LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

BREAKTHRU, LLC

Practice address

14435 W Verde LN
Goodyear, AZ 85395-8335

Phone

(623) 521-5856

NPI assigned

Dec 13, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olu W Omodara

Title

Owner/General MGR.

Phone

(623) 521-5856

Specialties & licenses 2

Addresses

Other names 1

• Majestic Transport Services Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1053689596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14435 W VERDE LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958335",
            "telephone_number": "623-521-5856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14435 W VERDE LN",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853958335",
            "telephone_number": "623-521-5856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHRU, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "OMODARA",
        "authorized_official_first_name": "OLU",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/GENERAL MGR.",
        "authorized_official_telephone_number": "623-521-5856"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Majestic Transport Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Private Vehicle in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Private Vehicle in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.