Breakthrough Recovery Outreach, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

044085D Issued in GA

Legal business name

BREAKTHROUGH RECOVERY OUTREACH, LLC

Practice address

3648 Chamblee Tucker Rd
Suite F
Atlanta, GA 30341-4403

Phone

(770) 493-7750

Fax

(770) 493-5577

NPI assigned

Jan 12, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Chris Jacobs

Title

Executive Director

Phone

(770) 493-7750

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 9

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

• Tameka Harris-James, LCSW

  • Clinical Social Worker
  • Decatur, GA
  • NPI 1043508351
  Medicare reassignment NPD
• Debra Denise Harvey Stewart, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lawrenceville, GA
  • NPI 1245825611
  Medicare reassignment NPD
• Thomas Cole Huggins, LMSW

  • Professional Counselor
  • Atlanta, GA
  • NPI 1891458188
  Medicare reassignment NPD
• Brandon Landry, PSYD

  • Clinical Psychologist
  • Sandy Springs, GA
  • NPI 1003569989
  Medicare reassignment NPD
• Dennis Arthur O'Brien, M.D.

  • Psychiatry Physician
  • Riverdale, GA
  • NPI 1043250079
  Medicare reassignment NPD
• Chardai Simmons, MSW

  • Social Worker
  • Atlanta, GA
  • NPI 1568916138

  Substance Abuse Rehabilitation Facility

  NPD
• Bryan A. Reid

  • Substance Abuse Rehabilitation Facility
  • Atlanta, GA
  • NPI 1790239374
  NPD (past)
• Tanikka Smith

  • Substance Abuse Rehabilitation Facility
  • Atlanta, GA
  • NPI 1427502038
  NPD (past)
• Jean Thelemaque Jr.

  • Substance Abuse Rehabilitation Facility
  • Atlanta, GA
  • NPI 1932653532
  NPD (past)

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

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1982909503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3648 CHAMBLEE TUCKER RD",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414403",
            "telephone_number": "770-493-7750",
            "fax_number": "770-493-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3648 CHAMBLEE TUCKER RD",
            "address_2": "SUITE F",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414403",
            "telephone_number": "770-493-7750",
            "fax_number": "770-493-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAKTHROUGH RECOVERY OUTREACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-493-7750",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "044085D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.