BREAKTHROUGH SERVICES INC. NPI 1306017165

NPI Information

  • NPI: 1306017165
  • Provider Name: BREAKTHROUGH SERVICES INC.
  • Classification: Preferred Provider Organization - 305R00000X
  • Entity Type: Organization
  • Former Legal Business Name: BREAKTHROUGH HOMES AND SERVICES
  • Address: 114A MEMORIAL DR
    JACKSONVILLE, NC
    ZIP 28546
  • Phone: (910) 347-6009

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NPI Details

BREAKTHROUGH SERVICES INC. is a preferred provider organization in Jacksonville, NC. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. BREAKTHROUGH SERVICES INC. NPI is 1306017165. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Breakthrough Homes And Services.

The provider's business location address is:

114A MEMORIAL DR
JACKSONVILLE, NC
ZIP 28546-328
Phone: (910) 347-6009
Fax: (910) 355-2267

The provider's authorized official is Jackie Christian Bodnarik .
The authorized official title is Fiscal Director and has the following contact phone number (910) 347-6009.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 6/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider OrganizationYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13418095MEDICAIDNORTH CAROLINA
28301307MEDICAIDNORTH CAROLINA
38301307BMEDICAIDNORTH CAROLINA
48301307GMEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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