Breakthrough Transitions LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

BREAKTHROUGH TRANSITIONS LLC

Practice address

2110 N Donnelly St Ste 500
Mount Dora, FL 32757-6968

Phone

(321) 362-4176

Fax

(321) 256-5176

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Albertha McShan, LCSWNPI 1942550033

Title

Owner/Provider

Phone

(407) 616-1530

Specialties & licenses 6

Addresses

Tax ID family

Breakthrough Transitions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Breakthrough Transitions LLC

  • Clinical Social Worker
  • Mount Dora, FL
  • NPI 1902274624
  NPD tax ID

Locations

Practitioners 1

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

• Stephanie Albertha McShan, LCSW

  • Clinical Social Worker
  • Mount Dora, FL
  • NPI 1942550033
  NPD Authorized official

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643155200000",
    "number": "1104594415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 S BAY ST STE B-4",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266300",
            "telephone_number": "407-616-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2110 N DONNELLY ST STE 500",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327576968",
            "telephone_number": "321-362-4176",
            "fax_number": "321-256-5176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2531 Sugarsand Ct",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327125040",
            "country_code": "US",
            "telephone_number": "407-616-1530",
            "fax_number": "321-256-5176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BREAKTHROUGH TRANSITIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A",
        "authorized_official_last_name": "MCSHAN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "ALBERTHA",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "407-616-1530",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Aleksandr Bowers
• Thomas L Bowers IV, DMD, MD
• Cheryl Lynn Bradford, NP-C
• Cherry Brannum
• Breakthrough Med Transport LLC
• Breakthrough Transitions LLC
• Arianna Brock
• Jessica Brooks
• Azalee L Brown
• Candice Brown

• Medical Specialty Clinic/Center in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Medical Specialty Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.