NPIMap

Organization Active NPI

Breath of Lifecare LLC

  • Home Health Agency
  • Malden, MA
National Provider Identifier
1750167730
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BREATH OF LIFECARE LLC
Practice address
578 Main St Ste 7B
Malden, MA 02148-4094
Phone
(978) 972-0144
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Nougye J Mutungi Mukoma, RN, MSN, FNP-BCNPI 1275190795
Title
Ceo
Phone
(978) 972-0144

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

578 Main St Ste 7B
Malden, MA 02148-4094

Mailing address

578 Main St Ste 7B
Malden, MA 02148-4094
Phone (978) 972-0144

National Provider Directory

National Provider Directory

Locations

578 Main St
Ste B7
Malden, MA 02148
Phone (978) 972-0144

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": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1750167730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 MAIN ST STE 7B",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484094",
            "telephone_number": "978-972-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 MAIN ST STE 7B",
            "city": "MALDEN",
            "state": "MA",
            "postal_code": "021484094",
            "telephone_number": "978-972-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "MUTUNGI MUKOMA",
        "authorized_official_first_name": "NOUGYE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "978-972-0144",
        "authorized_official_credential": "RN, MSN, FNP-BC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malden, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.