Broken Horse Rescue

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

BROKEN HORSE RESCUE

Practice address

5413 Chuckwagon Dr
Copperopolis, CA 95228-7043

Phone

(209) 483-9394

NPI assigned

Dec 30, 2024

Last updated

Dec 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joanne M Mount

Title

Ceo

Phone

(209) 483-9394

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1629886262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 CHUCKWAGON DR",
            "city": "COPPEROPOLIS",
            "state": "CA",
            "postal_code": "952287043",
            "telephone_number": "209-483-9394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 CHUCKWAGON DR",
            "city": "COPPEROPOLIS",
            "state": "CA",
            "postal_code": "952287043",
            "telephone_number": "209-483-9394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROKEN HORSE RESCUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "MOUNT",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-483-9394",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin C Bremer, MS
• Sofia R. Bulahan, FNP
• Copperopolis Dental Kirandeep Kaur DDS Gen PTR
• Copperopolis Pharmacy
• Mark Scott Demanes, PH.D., MFT
• Jennifer Cathryn Dewey, RBT

• Voluntary or Charitable Agency in Copperopolis, CA
• Providers in Copperopolis, CA by specialty
• Voluntary or Charitable Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.