Provider Demographics
NPI:1851682652
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?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251S00000XAgenciesCommunity/Behavioral Health
No253Z00000XAgenciesIn Home Supportive Care
No3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
No385H00000XRespite Care FacilityRespite Care
No385HR2055XRespite Care FacilityRespite CareRespite Care, Mental Illness, Child
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child