Individual provider Active NPI

Maxine Althea Breedlove

  • Home Health Agency
  • Lawrenceville, GA
National Provider Identifier
1245122654
Registry record updated Jul 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Practice address
640 Dana Pointe CT
Lawrenceville, GA 30045-8633
Phone
(470) 367-0632
Fax
(470) 367-0632
NPI assigned
Jul 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X GA Primary

Addresses

Primary practice location

640 Dana Pointe CT
Lawrenceville, GA 30045-8633

Mailing address

640 Dana Pointe CT
Lawrenceville, GA 30045-8633
Phone (470) 367-0632

Other names 1

  • Mrs. Maxine Althea Breedlove Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752796800000",
    "number": "1245122654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 DANA POINTE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458633",
            "telephone_number": "470-367-0632",
            "fax_number": "470-367-0632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 DANA POINTE CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300458633",
            "telephone_number": "470-367-0632",
            "fax_number": "470-367-0632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDLOVE",
        "first_name": "MAXINE",
        "middle_name": "ALTHEA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAXINE",
            "last_name": "BREEDLOVE",
            "middle_name": "ALTHEA",
            "prefix": "MRS.",
            "credential": "PURIGHT CARE LLC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; 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.