Active NPI
Breaking All Boundaries, LLC
- Adult Day Care Clinic/Center
- Dayton, OH
National Provider Identifier
1306655345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Day Care Clinic/Center
- Legal business name
- BREAKING ALL BOUNDARIES, LLC
- Practice address
- 3138 N Main St
Dayton, OH 45405-2701 - Phone
- (937) 369-6430
- NPI assigned
- Jan 3, 2025
- Last updated
- Jan 9, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tawana Denise Drakes
- Title
- Partner
- Phone
- (937) 369-6430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Day Care Clinic/Center | 261QA0600X | NU | Primary |
Addresses
Primary practice location
3138 N Main St
Dayton, OH 45405-2701
Mailing address
4071 Middlehurst LN
Dayton, OH 45406-3429
Phone (937) 369-6430
National Provider Directory
National Provider DirectoryLocations
3138 N Main St
Dayton, OH 45405
Phone (937) 369-6430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1736380800000",
"number": "1306655345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4071 MIDDLEHURST LN",
"city": "DAYTON",
"state": "OH",
"postal_code": "454063429",
"telephone_number": "937-369-6430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3138 N MAIN ST",
"city": "DAYTON",
"state": "OH",
"postal_code": "454052701",
"telephone_number": "937-369-6430"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREAKING ALL BOUNDARIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-03",
"last_updated": "2025-01-09",
"certification_date": "2025-01-09",
"status": "A",
"authorized_official_last_name": "DRAKES",
"authorized_official_first_name": "TAWANA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "937-369-6430"
},
"taxonomies": [
{
"code": "261QA0600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Day Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.