Colman Life Breakthrough LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COLMAN LIFE BREAKTHROUGH LLC

Practice address

227 Foster Rd
Tewksbury, MA 01876-2809

Phone

(857) 249-8804

NPI assigned

Jul 24, 2019

Organization subpart

Yes

Parent organization

COLMAN LIFE BREAKTHROUGH LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Lerrea Madeleine Mengata, LPNNPI 1710533484

Title

Independent Nurse

Phone

(857) 249-8804

Specialties & licenses 2

Addresses

Other names 1

• Colman Life Breakthrough LLC Doing business as

Part of

Colman Life Breakthrough LLC

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lerrea Mengata

  • Licensed Practical Nurse
  • Tewksbury, MA
  • NPI 1710533484
  NPD Authorized official

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1093369472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 FOSTER RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762809",
            "telephone_number": "857-249-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 FOSTER RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018762809",
            "telephone_number": "857-249-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLMAN LIFE BREAKTHROUGH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLMAN LIFE BREAKTHROUGH LLC",
        "enumeration_date": "2019-07-24",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "MENGATA",
        "authorized_official_first_name": "LERREA",
        "authorized_official_middle_name": "MADELEINE",
        "authorized_official_title_or_position": "INDEPENDENT NURSE",
        "authorized_official_telephone_number": "857-249-8804",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colman Life Breakthrough LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colman Life Breakthrough LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Louis Coiro, PT
• Cole Vision Corporation
• Susann Cole
• Susan Ann Coleman
• Kimarie Amanda Collins, PMHNP-BC
• Commonwealth Care Alliance
• Commonwealth of Massachusetts
• Commonwealth of Massachusetts Office for Pharmacy Services
• Connected Life Chiropractic
• Jennifer Ann Connolly, RN

• Home Health Agency in Tewksbury, MA
• Providers in Tewksbury, MA by specialty
• Home Health Agency in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.