Provider Demographics
| NPI: | 1205127073 |
|---|---|
| Name: | BREAKTHROUGH INTERNATIONAL MINISTRIES CHURCH BIMC INC |
| Entity type: | Organization |
| Organization Name: | BREAKTHROUGH INTERNATIONAL MINISTRIES CHURCH BIMC INC |
| Other - Org Name: | <UNAVAIL> |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PROGRAM MANAGER |
| Authorized Official - Prefix: | |
| 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: | P O BOX 720436 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HOUSTON |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77272 |
| 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 | 310400000X | Nursing & Custodial Care Facilities | Assisted Living Facility | |
| No | 3104A0630X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Behavioral Disturbances |
| No | 311ZA0620X | Nursing & Custodial Care Facilities | Custodial Care Facility | Adult Care Home |
| No | 315P00000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Intellectual Disabilities | |
| No | 3104A0625X | Nursing & Custodial Care Facilities | Assisted Living Facility | Assisted Living, Mental Illness |
| No | 310500000X | Nursing & Custodial Care Facilities | Intermediate Care Facility, Mental Illness | |
| No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| No | 251S00000X | Agencies | Community/Behavioral Health | |
| No | 251B00000X | Agencies | Case Management | |
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | |
| No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | |
| No | 385H00000X | Respite Care Facility | Respite Care | |
| No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |
| No | 385HR2055X | Respite Care Facility | Respite Care | Respite Care, Mental Illness, Child |
| No | 253Z00000X | Agencies | In Home Supportive Care |
