Breath of Life, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

8700466 Issued in NC

Legal business name

BREATH OF LIFE, INC.

Practice address

1808 Tommys Rd
Goldsboro, NC 27534-7992

Phone

(919) 759-9240

NPI assigned

Dec 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Angelene Thomas

Title

Director

Phone

(919) 759-9240

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083770218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 TOMMYS RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347992",
            "telephone_number": "919-759-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 TOMMYS RD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275347992",
            "telephone_number": "919-759-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ANGELENE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "919-759-9240"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NC",
            "license": "8700466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8700466",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Ray Bradshaw, RNC,NP
• Bharat Mahendra Brahmbhatt, M.D.
• Pamela Dawn Branson, FNP-C
• Amy G. E. Brantley, PA
• Philip K Brantly, DDS
• Anissa Sheree Breland, DNP, CRNA
• Brenda a. Taylor
• Bradley C Brenton, M.D.
• Hannah Elisabeth Brewer, SLP
• Albert L Bridger, PA-C

• Case Management Agency in Goldsboro, NC
• Providers in Goldsboro, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.