Breath of Life, Inc.

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

License

0066027 Issued in TX

Legal business name

BREATH OF LIFE, INC.

Practice address

2612 Gravel Dr
BLDG 7
Fort Worth, TX 76118

Phone

(866) 777-3380

Fax

(888) 882-4004

NPI assigned

Mar 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Boyce Harbour

Title

President

Phone

(817) 907-8212

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1790753689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 93359",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920113",
            "telephone_number": "817-686-1111",
            "fax_number": "817-686-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2612 GRAVEL DR",
            "address_2": "BLDG 7",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76118",
            "telephone_number": "866-777-3380",
            "fax_number": "888-882-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREATH OF LIFE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-08",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "HARBOUR",
        "authorized_official_first_name": "BOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-907-8212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "0066027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174304901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Delane Braymen, LPCA
• Alyssa Marie Brazell, OTR
• Kelli Melissa Brazzel, RN
• Bre Breathe Transportation Services, LLC
• Breath Body Behavior
• Christina Brechler, M.S. CCC-SLP
• Jennifer Breed, CPNP
• Victoria Elizabeth Breeding
• Lindsay Rae Breedlove Tate, MD
• Phillip E Breedlove, LPC

• Oxygen Equipment & Supplies (DME) in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Oxygen Equipment & Supplies (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.