Provider Demographics
NPI: | 1396036190 |
---|---|
Name: | BREAKTHROUGH INTERNATIONAL MINISTRIES CHURCH BIMC INC |
Entity Type: | Organization |
Organization Name: | BREAKTHROUGH INTERNATIONAL MINISTRIES CHURCH BIMC INC |
Other - Org Name: | CARES GROUP HOME |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | PROGRAM MANAGER |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | FELICITAS |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ONYERI |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 713-474-0742 |
Mailing Address - Street 1: | PO BOX 720436 |
Mailing Address - Street 2: | |
Mailing Address - City: | HOUSTON |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 77272-0436 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 713-474-0742 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 8449 W BELLFORT ST |
Practice Address - Street 2: | SUITE 328 |
Practice Address - City: | HOUSTON |
Practice Address - State: | TX |
Practice Address - Zip Code: | 77071-2245 |
Practice Address - Country: | US |
Practice Address - Phone: | 713-474-0742 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2011-04-27 |
Last Update Date: | 2011-04-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
No | 251B00000X | Agencies | Case Management | |
No | 251G00000X | Agencies | Hospice Care, Community Based | |
No | 251S00000X | Agencies | Community/Behavioral Health | |
No | 253Z00000X | Agencies | In Home Supportive Care | |
No | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
No | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness | |
No | 311Z00000X | Nursing & Custodial Care Facilities | Custodial Care Facility | |
No | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home |
No | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | |
No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility |