Provider Demographics
NPI:1982098281
Name:BREAKTHROGH HEALTHCARE, INC
Entity Type:Organization
Organization Name:BREAKTHROGH HEALTHCARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKPAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-523-7795
Mailing Address - Street 1:555 S SCHUYLER AVE STE 265
Mailing Address - Street 2:
Mailing Address - City:KANKAKEE
Mailing Address - State:IL
Mailing Address - Zip Code:60901-5102
Mailing Address - Country:US
Mailing Address - Phone:815-523-7795
Mailing Address - Fax:
Practice Address - Street 1:555 S SCHUYLER AVE STE 265
Practice Address - Street 2:
Practice Address - City:KANKAKEE
Practice Address - State:IL
Practice Address - Zip Code:60901-5102
Practice Address - Country:US
Practice Address - Phone:815-523-7795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-25
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health