Bread of Life Community Services Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

082977 Issued in NY

Legal business name

BREAD OF LIFE COMMUNITY SERVICES INC.

Practice address

14 W 170TH St
Bronx, NY 10452-3227

Phone

(347) 892-5022

NPI assigned

Sep 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Carlton Lamont Jean, LCSW

Title

President, Ceo

Phone

(347) 892-5022

Specialties & licenses 1

Addresses

Tax ID family

Bread of Life Community Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Bread of Life Community Service Inc.

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1336516988
  NPD tax ID

Locations

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1740659036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 SHERMAN AVE APT 4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565720",
            "telephone_number": "347-892-5022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 W 170TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523227",
            "telephone_number": "347-892-5022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAD OF LIFE COMMUNITY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "JEAN",
        "authorized_official_first_name": "CARLTON",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "347-892-5022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "082977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Brawe, OTR/L
• Robin J Bray, MA,CCC-A
• Fernando R Brea Soto, DMD
• Charlyn Brea-Gomez, M.S. CCC-SLP
• Bread of Life Community Service Inc.
• Franklin Lloyd Breakenridge
• Breakthrough Family Health Nurse Practitioner, PLLC
• Eliezer Brecher, D.M.D
• Pinchus Brecher, MSW
• Joyce Breedlove

• Community/Behavioral Health Agency in Bronx, NY
• Providers in Bronx, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.