NPIMap

Organization Active NPI

Breakthrough Community Development Corporation

  • Community/Behavioral Health Agency
  • Annapolis, MD
National Provider Identifier
1376200428
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BREAKTHROUGH COMMUNITY DEVELOPMENT CORPORATION
Practice address
1831 Forest Dr Ste G
Annapolis, MD 21401-4430
Phone
(443) 221-7447
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Mrs. Hawanya T Jerry
Title
Biller
Phone
(443) 221-7447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1831 Forest Dr Ste G
Annapolis, MD 21401-4430

Mailing address

1831 Forest Dr Ste G
Annapolis, MD 21401-4430
Phone (443) 221-7447

National Provider Directory

National Provider Directory
Tax ID family
Breakthrough Community Development Corporation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1376200428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 FOREST DR STE G",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014430",
            "telephone_number": "443-221-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 FOREST DR STE G",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214014430",
            "telephone_number": "443-221-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH COMMUNITY DEVELOPMENT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "JERRY",
        "authorized_official_first_name": "HAWANYA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "443-221-7447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.