Organization Active NPI

Breakthrough Pediatrics LLC

  • In Home Supportive Care Agency
  • Aurora, CO
National Provider Identifier
1740058791
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
BREAKTHROUGH PEDIATRICS LLC
Practice address
13710 E Rice PL Ste 240
Aurora, CO 80015-1074
Phone
(720) 547-0885
Fax
(720) 698-4070
NPI assigned
Dec 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Authorized official

Name
Steven Hennig, DPD
Title
Administrator
Phone
(909) 957-5494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

13710 E Rice PL Ste 240
Aurora, CO 80015-1074

Mailing address

13710 E Rice PL Ste 240
Aurora, CO 80015-1074
Phone (720) 547-0885

National Provider Directory

National Provider Directory

Locations

13710 E Rice Pl
Ste 240
Aurora, CO 80015
Phone (720) 547-0885

6795 E Tennessee Ave
Ste 150
Denver, CO 80224
Phone (303) 393-7262

6535 S Dayton St
Ste 3650
Greenwood Village, CO 80111
Phone (303) 220-8518

NPI Registry JSON

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

{
    "created_epoch": "1702944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1740058791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13710 E RICE PL STE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151074",
            "telephone_number": "720-547-0885",
            "fax_number": "720-698-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13710 E RICE PL STE 240",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800151074",
            "telephone_number": "720-547-0885",
            "fax_number": "720-698-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH PEDIATRICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-19",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "HENNIG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "909-957-5494",
        "authorized_official_credential": "DPD"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 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.