Organization Active NPI

Global Breakthrough Mission

  • Adult Care Home Facility
  • Los Angeles, CA
National Provider Identifier
1689561979
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GLOBAL BREAKTHROUGH MISSION
Practice address
3786 Crawford St
Los Angeles, CA 90011-2616
Phone
(213) 305-4047
NPI assigned
Jun 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Mrs. Eunice J Bodak, REVNPI 1184938375
Title
Ceo
Phone
(310) 780-7697

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

3786 Crawford St
Los Angeles, CA 90011-2616

Mailing address

269 E 38TH St
Los Angeles, CA 90011-2653
Phone (310) 780-7697

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1689561979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 E 38TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900112653",
            "telephone_number": "310-780-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3786 CRAWFORD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900112616",
            "telephone_number": "213-305-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL BREAKTHROUGH MISSION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-20",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "BODAK",
        "authorized_official_first_name": "EUNICE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-780-7697",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "REV"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.